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Homestead_Woolston
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 :DtPREPARER.= J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N.Hart St Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(ftok-law.com City,State,and ZIP Code Telephone Number E-mail :E:SELLERS)/,GRANTOR(S), - _- Rnhprt M Firhtinger Mary K Firhtinger Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 10311 S Pheasant Run 10311 S Pheasant Run Address(Number and Street) Address(Number and Street) Hauhstadt IN 47639 Hauhstadt IN 47639 (-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 I 6-1.1-5.5,"Real Property Sales Disclosure Act". f2,;"' N )'le J----•---- C./ "` ( keCAI irC>_> j signature ofSelle,! // Signawreo/ IIerJ Robert M Fichtinger t=7 I24.12', 13 Mary K Fichtinger b")/24„,1zot3 Printed Name of Seller Sian Date(HM/DD/Yin? Printed Name a(Seller rSian Date(MM/002Y1Y11 E.BUYER(S)/GRANTEE(S);-,APPLICATION.PORPROPERTYTAX DEDUCTIONS=IDENT[EYAIiCITEMSTHATAPPLY___ - _ 1 _-_._ Brandon M.Woolston Virginia K.Woolston _ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 519 W.State Road 68 - _ 519 W. State Road 68 Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 Haubstadt, IN 47639 T TelephoneNumbei 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 I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead T pgg�l� residence? Provide complete address of primary ❑ © 4.Solar Energy Heating ootIPigefh-+� residence,including county: ❑ Igl 10311 S Pheasant Run 5.Wind Power Device JUL 2 92013 Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ Q 7,Geothermal Energy Heal' /Cooli g De ice City,Smh ZIP Code County r-y ❑ 0 8.Is this property a resid erty? ID B 2.Does the buyer have a homestead in Indiana to be �-. GIBSON _ __ vacated for this residence? If yes,provide ❑ Q Would you like to recerVe t2P thie )(eAlsillhfOR complete address of residence being vacated, prop erty via e=mail?:(ProVide:contoctinformation- — - including county: _A below. Please see instructions for more information. ru�`et"�t\ Not available in all counties.) Address(Number and Street) City.State ZIP Code County a6 - r -3b- �-coa. 1O3-t 4 Primary property owner contact name E-mail