Homestead_Halbig INDIANA SALES DISCLOSURE FORM . • SDF ID:' Page 2
ICD?\P&REPARERi' - - __ _ -•'--- --- _ - --- _— ------- ... . , �?.
J. Robert Kinkle Attorney •
Preporer of the Sales Disclosure Form Tide
_PO Box 13.219 N. Hart St. Hall, Partenheimer& Kinkle
•Address(Number and Street) Company - • .
Princeton, IN 47670 _812-386-0050
City.State:andZIP Code Telephone Number E-mail .
•
sE;;SELLER(ST/,GRAN1FOR(S))_' — - -----77:71:: -- -—.--C"-‘ `S- - — . . :- —
`Robert W Helm Heather R Helm - -
--Seller l-Name as appears on conveyance document Settee 2 /
-Name as ap rs pea on conveyance document -
7423 F State'Rd t 64 /0- J • ,s7Pr Address(Number nd Sweet) Address(Number and Street) -
Francisco IN•47649 ' &/trTC 41',. C.".- w 4.7660
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 com e s re uire law,and is prepared in accordance with CO 1.1-5.5,"Real Pr perry Sales Disclosure Act".
. %Y]t }}''��dy'w_� ► I Bee.' C. ' Et Si,.
Signature of Seller'" -.l' gnature ofSellei ' '
Robert W Helm q///73 Heather R-Helm _ �///j.- 1: • -
Printed Nameo(Seller - Skin Date(MM/DD/222n - Printed Name of Seller. . ' ' - -. Sign Date(MM/DD(YTTYJ
LF?i: :, _• ',G' _'( E(S);=AP,PLICATIONIF,O RtP,RQP,ERTtYLTAXSDEDUCTIIONS IDENJTIFLY(AbL)ITEMS TL HAT;MPPLYt,
Andrew S. Halbig - - - `
. Buyer Y=Na; ..pearran conveyance document Buyer 2-Name as appears on conveyance document .
230 S.Jefferson St.
>Addres(Number and Street) - Address(Number and Street)
Princeton,IN 47670 _
Telephone Number • -. E-mail
THESALESDISCLOSUREFORMMAYBEUSEDTOAPPLYFORCERTAINDEDUCTIONSFORTHISPROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION .. , NO CONDITI• •
0 ❑ 1.Will this property be the buyer's primary at • • • estea•
residence? Provide complete address of primary P2 nergy Heating/Cooling System
residence;including county: ❑ IZI 7423E State Road 64
5:Wind Power Device
Address(NuinberandStreet) - • ❑ Q - 6. Hydroelectric Power.Device
Francisco, IN 47649 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
❑ 1 2.Does the buyer have a homestead in Indiana to be ❑ 8• Is this property a residential rental propeity?
vacated for this residence? If yes,provide ❑ El 9.Would you like to receive tax statements for this
complete address of residence being vacated, property e-snail?(Provide contact information -
including county: below.Please see instructions for more information.
Not available in all counties) (/'
Address(Number and Street) r/-/ p .1 /I 13—COT,
Andrew S.Halbig-do-doe-00 V C�
City,State ZIP Code County - .
-. -_.
Primary owner contact name _ _ - 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",'(Note: .
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
.