Homestead_HarrisonINDIANA SALES DISCLOSURE FORM SDF ID 26- 2009 - 1000393 V ) page 2
D. PREPARF.R,_
r
J. ROBERT KINKLE HALL, PARTENHEIMER & KINKLE
ATTORNEY
ofihr S;les Duch,, n• Form
7111,
W;err
N. HART ST., PO BOX 13
HALL, PARTENHEIMER & KINKLE
Address iNiunher and Sveerl
E -ou it
SELLER(S) /GRANTOR(S)
NICHOLAS D. QUERY
Seller - :\'ame t appears on cooiv' once document
Seller - :\ " "mne ar appears an mnrr}'unce douument
250 S. 1150 E.
Address !:Vumher aml SrresJ
Addrro (N ..obe, and Sfrem
OAKLAND CITY, IN 47660
('
F -mail
Te(ephonc:Vun,&r E -moil
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and
omplete as required by lase, and is prepared in accordance with IC
6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
signature of SeflerSeflerOp
Si;,munnr of Seller
ti•� Qu «y 9'ZZ -tee
Printed :Y "ame of5rfl Sign Dwe (al.1l'DDTYYY)
Printed V,.e ojSeller Sign Dare r.11.H'DD 1)'17]'1
F. BU ' S) = APPLICATION FOR DEDUCTIONS AND CREDITS' - IDENTIFY ALL ITEMS THAT :APPLY
AVOR SCOTT HARRISON
BRITTANY N. HARRISON
u - \'ame <u .rppears on rorn'mnnre Co.,
_ rurs on convnnnce davmenl
4 -
431 S. GIBSON STREET
Address (Number aml Srreel)
Address ( \irmbn' and StrreO
PRINCETON, IN 47670
PRINCETON, IN 47670
HE SALES DISCLOSURE FORDI MAYBE USED TO APPL\" FOR CERTAIN
, TIONS FORTH . OPERTY. IDENTIFY ALL OF THOSE THAT
F 1. Will this property be the buyer's primary residence? Provide coin e
F 3. Ho estead
address of primary' residence. including commc
4. Solar - - _- ating /Cooling Svstem
250 S. 1150 E.
,- Power Device
Address (N., ohe, and Srmetj
OAKLAND CITY, IN 47660 Gibson
r 6. Hydroelectric Power Device
Cin•. Stave. nod7lP C «le C ✓:om
r 7. Geothermal Energy Heating /Cooling Device
r 2. Does the buyer have a homestead to be vacated for this residence? If
r S. Is this property a residential rental property?
yes, provide complete address of residence vacating. including county :
F- 9. Would you like to recievc tax statements for this property via
e- mail.? (Provide contact injornmrion below. Please see the
instructions Ibr more inlbnnation A'at available in all counties.)
.1ddrerr (A'umber and Strx:J
D%det)- a.'5a�2- alI
Cit_v. Ss ✓te. and ZIP Cale C"ounm
Priman• propern• on'ner molt ;name (. -mod
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 ". (Note: Spouse Information, Social Security
License /other numbers are not necessary if no Homestead Deduction is being filed.)
�er's
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