Homestead_Hall INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D PREPARER 3. 1 i '- :YY R ,
Brian K.Mahoney Attorney
Preparer of the Sales Disclosure Form Title
822 Main Street, P.O. Box 176 Mahoney Law Office
Address(Number and Street) Company
Petersburg, IN 47567
E SELLER(S)/GRANOR(S)=�. � '-'� -{ '� _
-
Robert".King Mary F.King
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6019 S Augusta Main Street 6019 S Augusta Main Street
Address(Number and Street) Address(Number and Street)
Winslow, IN 47598 Winslow, IN 47598
City,State,and ZIP Code
and belief,is true,correct
and complete s required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Weilf , �.-
Signature ofSeller Signature of ler
Hobert L.King /o?"/.9^ /7 Mary F. King /02-/F—l9
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F . T, RE •,TAX ECI . TALLI , I Y, B_ _- .v . EESA_ PLICATIO , P_O DDUT . 7 IFY E • iAPP . ,a+ _
Eddie Hall ,r" everl Hall
Buyer 1-N, -.,.,,ears on conveyance document :,:uyer 2-Name as appears on conveyance document
119 N 2nd Ave t, 117. 2nd Ave
Address(Number and Street) -, Address(Number and Street)
r ILED
LU
YES NO CONDITION t s YES NO CONDITION
❑✓ ❑ 1.Will this prope .1, b-•1 h-•`uyer's primary ❑✓ ❑ 3.Homestead •
residence? Provi:rc-nr•mplete address of primar
residence,including county: ❑ ❑✓ 4.Solar leg 161i �j�Ef��
119 N SECOND AVE
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
OAKLAND CITY, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 2 B Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑✓ 9.Would ou 1• to receive tax statements for this
complete address of residence being vacated, roperty via e-mail?(Prove tact information
including county: below.Please see instructions for more • rmation.
Not available in all counties.)
Address(Number and Street) /