Homestead_Frederick (2)FORM SDF ID:
J. Robert Kinkle - Attorney
Preparer of the Sales Disclosure Form Title
N. Hart St. PO Box 13
ess (Number and Street)
Princeton, IN 47670
City,State, and ZIP Code
Hall. Partenheimer & Kinkle
Company
E -mail
Seller l Name as appears on conveyance document Seller 2 - Name as appears on conveyance document
�A E Spruce Street
Address (Number and Street) Address (Number and Street)
City, Stam and ZIP Code I City, State, and ZIP Code
E -mail Telephone Number E -mail
Under penalties of perjury,) 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 ".
.1� J
USi nature of Seller v ' Signature of Seller
Linda L- Haubold - �—
Buyer l - Name as appears on conveyance document
107 S. Mill Street
Address (Numberand Street)
_ eton IN 47640
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Q ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Address (Number and Street)
Hazleton IN 47640 Gibson
City, State ZIP Code County
❑ ✓❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number and Street)
City, State ZIP Cade County
YES
NO
CONDITION
❑✓
❑
3. Homestead
❑
❑
4. Solar Energy Heating /Cooling System
❑
0
5. Wind Power Device
❑
❑✓
6. Hydroelectric Power Device
❑
❑✓
7. Geothermal Energy Heating /Cooling Device
❑
Q
8. Is this property a residential rental property?
❑
❑✓
9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
Not available in all counties.)
L- Z- oc-'7- .5- 9 -o3a- 000- 069 -1_-0/ y
Angela Collins
name
E -mail
Under penalties of perjury, 1 hereby certify that this Sales