Homestead_Singleton INDIANA SALES DISCLOSURE FORM SDF ID:
r Page
D'PR.EPARER - . - - - _
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670
E-mail
E SELLER(S)/GRANTOR(S):—. -Barbara Singleton
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
110 F Pine Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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 as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Barbara Singleton 7 30—a19
Printed Name o Seller Si.n Date MM/DD Printed Name o Seller
Si•n Date(MM DD/YYYY)
:,F.;,,. ' S',GRANTE f -APPLIGATION_FOR PROPER1 Y TAX DEDUCTIONS-I_DENTIF_Y ALL,ITEMS THATAPPLY -_ __y_ -
( Nicholas Singleton
Buyer 1-.•c:.,... :.. . . eyance document Buyer 2-Name as appears on conveyance document
202:N. Mill Street -
Address(Number and Street) . - Address(Number and Street) F IL 1
1 :,
Owensville, IN 47665 J
mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE YYP OSE THAT PLY.
YES NO CONDITION ES NO CONDITION P d4
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.HomesteadGlBS N COUNTY AUDITOR
residence? Provide complete address of prima U 4.Solar Energy Heating/Cooling System
residence,including county:
❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 02.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, prope via e-mail?(Provide contact information
including county: .elow.Please see instruction : ..ore information.
Not available in all counties.)
Address(Number and Street)
Gibson 41 26-11_I 2-fro) - OVu. Ito ^02. Z .
City,State ZIP Code County
Primary. ... . •• .ntactname E- mail
Number License/ID/Other Number