Homestead_Hosmer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER •
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St. Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehpk-law.com
City,State,and ZIP Code Telephone Number Email
E.SELLER(S)/GRANTOR(S)
Habitat for Humanity of Gibson County Inc-
Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document
1121 S Stout St
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,an. 's prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Sigytu=/Seller Awn Signature of Seller
/1NS+6.
11 .....a.: ' - s IILa.
Printed Name a •n- W Wr Sian Date(atx/DD/rr1'v) Printed Name of Seller Sian Date LV+t/aOmrri
F.BJJ T1t S)/GRAN" .)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY ,
Paula S. Hosmer
emu-Name as appea n conveyance document Buyer2-Name as appears on conveyor c ment
Ve.
Address(Number and Street) Address(Number and Street) 81:2)
Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE.USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTlF1'®Aefts'TI FIAT APPLY. -
Ie
YES NO CONDITION I NO [O\DIT10\ Qjr
0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead 1 TYq n
residence? Provide complete address of primary - ...Al fl 4.Solar • gy tie eating/C olifi elisteni
residence,including county: ❑
304 S Third Ave S.Wind Power Device
Address(Number and Street) ❑ IZ 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device
City,State Zl ode 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) �/
Ciry,State ZIP Code County d -/9-J/-JO _�. J / o
Primary property owner contact name E-mail