Homestead_Denton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street)
E.SELLERS)/GRANTOR(S) - - -
Kyle C Monroe
Se I,1JrYu acappeasR con ve.Sit,ruc�s.document Seller 2-Name as appears on conveyance document
l •ss(Number and Street) Address(Number and Street)
Rye .--(N\ ` 1- \ Lima )
City,
City,State,and ZIP Code
Telephone Number E-mail Telephone Number 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 complete rass�required-by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act",
? f ..l C`1'2(�ltlr[��
'ignatur sfSeller. r Signature of Seller
KAleiho idle < ^-19 -Ica()
Printed Name o Seller Si n Date(MN DDM1'Y) Printed Name of Seller Sian Da te(MM/DD/YYYY1
I WERfSj f GRAN FE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY.}—
Kimberly Den on .
aa.santr-ars n ey aCe-f0CarnCrr Buyer 2-Name as appears on conveyance document
s(Ilumber and Sire et Y Address(Number and Street)
City,
E-mail Telephone Number �Y E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. l' J.LED
YES NO CONDITION I NO CONDITION
I] ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead Jun Q3 101U
reside ce. vide complete address of primary ❑ �¢—m eating/Cool '
'. resid gee,in uc g county:
- � � .��� DR� ^ ❑ ❑✓ 5.Wind Power Device GIBBON COUNTY AUDITOR CB
rt dces.(Nu�mberand5treet) ❑ 0 6.Hydroelectric Power Device
-) \r\❑ ❑ 7.Geothermal Energy Heating/Cooling Device
rty,State ZIP Code l Lourtty
❑ ❑ 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 ❑ ❑✓ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. ace sP tructions for more information.
Not available in all counties.
Address(Number and Street)
26 12-07-303-001. 066-028
City,State ZIP Code County
Prima +,ereonzucuearne E-mail
Number License/ID/Other Number