Homestead_RoseINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER
J. Robert Kinkle Attomev
Preparero/NeSolaWulasweFom� Title
219 N. Hart St.. P.O. Box 13 Hall, Partenheimer & Kinkle
Addrev (Numberand Stree<)
. e�mo�i
E. SELLER S GRANTOR S
The Velma J Kuester Rpvorable Livin9 Trust Atd 10.23-2003
Seller ]� Name as appmn an ronveyunce dotument Seller 2- Name as appevrs on ronveyence darummt
329 E 790 S
Addrecs (Nvm6er ond Shre[J Addras (NvmHer ond5veet)
FnrtBranch IN 47648-8017
Ciry, Smte, and ZIPCOde firy, Smle, and ZIV fode
f-mnil ie/e haneNurn6er E-moil
Under penalties of perjury, I hereby certify [hat this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
a�co�pl�s rq�qui��y law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
, � Ci-�-�/I-�—
Signomreo(Seller / SiDnoNren/Selln�
Paul Il o�don i c cco� T� ��t . /� /�` '�Z
Pnn:edNomeo(Seller SianDorel�uVDD/YY191 PnntedNameo/Seller SiqnDa[el}I.v/DDOYI
YER 5 G TEE S- APPLICATION FOR PROPERTY TAX NTIFY ALL ITEMS THAT APPLY
Mark B. R R ina M. Ros
Boyerl- utapAearsomm�vryanredotvmrnt NuverZ-Nnme - earsanronvrynnaedocun�enl
706 S Watlers � Walters
Addre¢ (Num6erand SveeQ AJdr� (NumM anJ StreetJ
�Fort Branch IN 47648 Fort Branch.IN 47648
�,�.
E�mail
� THESALFSOISCLOSUHEiORMMAY8HU5EOTOAPPLYFORCERTAIKDEOUCTI0Y5FORTHISPROPERTY.IDE\TIiYALLOFTHOSETHdTdPPLY.
YES NO LORDITIOY � NO COY
✓� ❑ 1. �Nill this property be the buyer's primary ✓ ❑ 3. Homes[e
residence? Provide complete address of p' iary , olar Energy Heating/Cooling System
residence, including county:
706 S Walters ❑ Q S. Wind Power Device
.Iddress(Numberand5trret) ❑ ❑� .6. Hydroelech'ic Power Device
Fort Branch IN 47648 Gibson � Q 7.Geo[hermalEnerw Heating/Cooling Device
Liry.SmteZlPCode lounry
� Q 2. Does [he buyer have a homes[ead in Indiana [o be � ❑� 8� Is [his property a residential rental property?
vaca[ed fm'this residence? If yes, provide ❑ ❑✓ 9. Would vou like [o receive tax sta[ements for this
comple[e address of residence being vaca[ed, property via e-mail? (Provide contott informotion
including counqc 6elow. P(ease see instructions for more information.
Abt availa6le in all counties.)
Addres/NumbcrondS:reetJ p��.�9�� g 30,3 ��� y�' � /
Mark B. & Regina M11. Rose �� b
Ci%State ZIP lade Connry
Pnmap� pmper n mmermntnat name E�moil
Onder penalties of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is W e, correct
and comple[e as required by law, and is prepared in accordance wi[h IC 6-].1-S.S, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein fil .
� '1�� /� �. �. �/. /i2
SignoNreofBuyerl � Sign u fBv�rer2/Spous� �
�ark B Rncp ��/!/ /Z {�peina !.A Rncp
v Prinmd
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Lirense/lD/O[he�Number h'umber License/ID/O[herNuntber '