Homestead_Akins INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kathy Masterson
Preparer of the Sales Disclosure Form Tide
501 Main Street,Suite 101 Bosse Title Company,LLC
Andrea(Number and Street)
Gly,State,end ZIP Cade Telephone Number Email
E.SELLER(S)/GRANTOR(S)
Jeffery S.Barnerd
Seller I-Name as appears an conveyance document Seger-Name as appearran conveyance document
67 E 200 S
Address(Number and Street) Address(Number and Saset)
Princeton,IN 47670
Email Telephone Number E-mail
Under penalties of perjury, 1 eby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
e lete as e; ired b and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
` I'
is ,. Signature of Seger
S.[ nerd 08/13/2019 08/13/2019
Hinted Name a(segee Sign Date(MM/DD/tfl) Printed Name a/Seiter Sign Dote(1404/DD/YYI'1)
(Stephen
-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
/ Stephen Akins Janet L Akins
`Bayer l-Name ce document Buyer Z-Name as appears an conveyance document
40 ASTVIEW ST
Addrm(Numberard Stria) Address(Number and Street)
FORT BRANCH IN 47648 FILED
.�smrt
ug 2y mail
THE SALES D LOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR ERTY.IDENTIFY ALL OF THOSE THAT APPLY. �r YF-S NO
rEs CONDmoN n 3.Homestead GIBSON COUNTY AUDITOR CB
❑ 1.Will this property be the buyer's primary I:1
residence? Provide complete address of prim ry
-eelacasae ating/CoolingSystem
residence,including county: p.�/—+
E 5.Wind Power Device
670E 200 S ❑ a 6.Hydroelectric Power Device
Address(Number and Saw) ElI--I/
ZO 7.Geothermal Energy Heating/Cooling Device
/
PRINCETON IN 4 70 GIBSON ❑ a 8.Is this property a residential rental property?
Qty.state VP Code Caunry
❑ CV 9.Would you like to receive tax statements for this
❑ 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, o available in a co -
including county:
49}1t'CA9TVl EW'ST
Address(Number and Street) 26-12-19-400-000 . 423-027
P1-elb -wl-asba.8 --ereseN_
CIry.State ZIP Code county �P,Nwsrypmpe"y m- tantact name Email