Homestead_Kline INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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THOMAS L.MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title •
101 PLAZA EAST BLVD.,STE. 102 TRUE TITLE SERVICE,LLC
Address(Number and Street)
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Yr ,`.� �Ti''r
STEVEN W.FULLING
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
194 N.1050 E.
iress(Number and Street) Address(Number and Street)
Telephone Number E-mail
Ender penalties of pe j ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct •
nd c to as re u� d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/ r (� �,i
Sigiw ureofSeller Signature ofSeller
STEVEN W. FULLING it/ (0 /2019 .
Printed Na eller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)'
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It Eiar GRANT Sl't=APP.LICRATION FOR PtROP:ERIEBA`X�DED IONS ID.ENT ICTITY€ALL*I•mEMS THATDAPP�LY . _. _�..r�,'
KrLE A.KLINE
luyer me asappeap nveyancedocument Buyer 2-Name as appears on conveyance document
1812 S.Old State Road 65 .
tress(Number and Street) Address(Number and Street)
•
Princeton,IN 47670
E-mail - . Telephone Number E-mail
Dec 17 2019
HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR 'PYrIDENTIFY ALL OF TH E THAT APPLY. ,
ES NO CONDITION S/ NO CONDITION "I''�,�,,"R•
El1.Will this property be the buyer's primary •
/[G ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ar a .ting/Cooling System
residence,including county: ❑
194 N 1050 E Q 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Oakland C'•• ,IN 47660 Gibson ❑ /7.Geothermal Energy Heating/Cooling Device
City,State Code county ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ Il 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all ou ties.)
Address(Number and Street) 2.6 .- I�� 1LT10O_0 —(00 6
KYLE A. KLINE SPLIT '
City,State ZIP Code • County Primary property owner contact name E-mail
Number License/1D/Other Number