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Homestead_Brewer
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 aD21PREPARER`_ _. _-,- -- -- J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 Ciry,State,and ZIP Code Telephone Number E-mail _❑;SELLER S`.GRANTOR S _ - --- Velma White Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 6172 E 500 N Address(Number and Street) Address(Number and Street) Francisco IN 47649 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 C'610 Velma White 5/O)/2c11 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYY11 F.1,BUYER(ST/,GRANTEE(S) AP,PLICATION;F.OR•PROPERT4.:TAXDEDUCTIONS_D.ENT:laAWITEMS.THATAP,PLX_ - • T Bradley J. Brewer Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document le IZZ F_ ice Address(Number and Street) � ""�� Address(Number and Street) M1- 62863-tt-@2863 i-�.RNCI 5 Cc (,) 4-7 Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION [l/ ❑ 1.Will this property be the buyer's primary [5' 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 61 ZZ E. j c0 N ❑ al 5.Wind Power Device Addrr s(NumberandStreet) ❑ 6. Hydroelectric Power Device /e-r'QA. t CC-0 71.3 "i7(c yt ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP de County ❑ 2.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, property via e-mail?(Provide contact information -- - including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) City,State ZIP Code County 219—o/0—iS- aoo coo Bf/ D/ 7 Primary propeny 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.) S{gnamre ofB� Signature ofeuyer2/Spouse Bradley J Brewer Number License/ID/Other Number