Homestead_JonesJ. Robert Kinkle
Preporer oJthe6oles Disdasure Form
219 N. Hart St. PO Box 13
Address (Number and SveetJ
P�inceton IN 47670
Srute, andZlPCode
Seller 1- Name os appears on aonveyon�e domment
7968 S 200 F
Address (Number ond SueerJ
/ _ .
rltle � '�� ! .
Hall Partenheimer & Kinkle i '
Company
6-moil
Seller7 - Name as oppears on ronveyance documen[
Address (Number and Stree[J
Lity, Smte, and ZIPCode
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
an mplete as require by I , and i prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signa[ureofSeller r I Signomreo%SeQe�
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I-Name
Address (Number and StreetJ
Fort Branch. IN 47648
Ciry•.
Printed Nome of5eller Sian Dace
Buyer 2 - Nome ai
308 S. Cumberland St.
Address (Number and SveetJ
Fort Branch. IN 47648
ITEMS THAT APPLY
DISLLOSURE FORAf MAY BE USED TO APPLY FOR GERTALY DEDUCTIOYS FOR TNIS PROPERTY. IDEYTI F1' ALL OF THOSE THAT APPLY.
✓� � 1. 4Vill this property be the buyer's primary
residence? Provide complete address oF primary
residence, induding county:
7468 S 200 E
Address (Number and So-eetJ
Fort Branch. IN 47648 Gibson
Ci9t Smte ZlP Code Counq.
Q� 2. Does the buyer have a homestead in Indiana to be
vaca�ed for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number and Stree�J `
Fort Branch IN 47648 Gibson
City. 5mte ZlP Cade County
ea[ing/Cooling System
� Q✓ 5. Wind Power Device
� �✓ 6. Hydroelectric Po�ver Device
❑ �✓ 7. Geothermal Energy Heating/Cooling Device
� �✓ 8. Is this property a residential ren[al property?
� ✓� 9. Would you like to receive tax statemenCS for this
property via e-mail? (Provide contact in%rmation
6e' "rocv-r;�..e... r more information.
Not availa e in a ' s.)
��- I �'i -c� -ao0-oo 1.1(� 9-o3S
owner conruct nome
E-mail
Under penalties of perjury, 1 hereby certify that Ihis Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in acwrdance with IC 6-1.1•S.S, "Real Property Sales Disclosure Act". (Note
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
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edLegalNameofByerl SignDa[e(MM/DO/n'vh Pnn�edLegolNameofBuyer2/Spause 5lgnDote(aM/no/rvYY)
Secunty Number Last 5 digits o(Buyer2/Spouse Driver's Smte Last 5 DigiGS a(Social5ecuriry
Lirense/ID/OthenYum6er Number License/ID/OtherNum6er