Homestead_Monroe (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
rDPREPARER ._____-__._.-_..-,_.._-_ _1,i.--. - 1_.-_
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N Hart Street Partenheimer, Kinkle and Ricker
Address(Number and Street)
E-mail
E SELLE_R_(S_)%GRANTORS = _-- -- = --.-- ._
Thomas Dunlap Donna Dunlap
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11700 E.Sierra Drive 1700 F.Sierra Drive
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
City,
) E-mail
— ---
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and a as req/1 ed y aw,and is prepared in accordance wittl�C 6-1.1-5. "Real Property Sales Disclosure Act".
�U11YIQ UD
I Signature of Seller I Signature of Seller- t I
Thomas Dunlap .� 02f of/a®zO Donna Dunlap O2-- 7-Z02o
Printed Name of Seller Sign Date!MM DD / Printed Name o Seller (Sin Date MM DD ''
;1 Y_R(S)%AA[ TEE 'APPLI`CATION FO MOP ERTY TAX DEDUCTION$ I'DENTI Y ALL ITEMSTHAT AAPLY_.- wri �- '�_
Matthew Allen Monroe Erin Sue Monroe
Buyer 1-Name as appears on conve ce cument Buyer 2-Name as appears on conveyance v. .
r
rooKe r 12245 S Brooke DrL E Address(Number and Street) Address(Number and Street) i
. , __
Haubstadt, IN 47639 Haubstadt, IN 47639
'
)
Telephone Number: i E-mail Telephone Number E-mail
THE SE ALES'DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P'.1' •TY. IDENTIFY A i •OSE THAY/LR
YES NO CONDITION YES NO CONDITION GIB ► COUNTY
WI r] 1.Will this property be the buyer's primary Z ❑ 3.Homestead AiJDI I UR
residence? Provide complete address of primary . o eating/Cooling System
residence,including county: ❑ 111 5.Wind Power Device
1700 E.Sierra Drive
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 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 ❑ ❑✓ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, proper ' e wai tP . ide contact information
including county: ow.Please see instructions for • : •information.
12245 S Brooke Dr Not available in all counties.)
Address(Number and Street)
Haubstadt, IN 47639 Gibson 6 r-23' G 1 O -Q(O`•�Z G 0 2.Lj
City,State ZIP Code County -
Prima owner contact name E-mail