Homestead_TaylorINDIANA SALES DISCLOSURE FORM SDF ID 26- 2009 - 1000573 A^ Page 1
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J. ROBERT KINKLE HALL PARTENHEIMER & KINKLE
Prepare, of :he Sales Dud.re Fnrm
k 219 N. HART ST., PO BOX 13
PRINCETON, IN 47670
Cut. Srare.:nrd ZIP Code
SELF R(S)IGWANTOR(S)' _
ATTORNEY
HALL PARTENHEIMER & KINKLE
(
E -mail
JAMES O. HUEBNER
Seller - .fame as apprms on comzmnce duel men,
209 SOUTH STREET
Add,em (A`inn6e, andSovel)
HAZLETON, IN 47640
(,A,. Swir. mnl Z/P C)xle
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Telephone ,V:nnbn E -mail
SANDRA J. HUEBNER
Seller -:Oboe es opprnrs ore rnmrrance dnrumern
209 SOUTH STREET
Address f:Nnnber and Srrem
HAZLETON. IN 47640
(
Telephone .4amhe, E -mail
Jnder penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and
omplete as required by latgy, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
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jF: BU]' APPLICATIO\ FOR DEDUCTIO \STI3:REBi3'S-�DENT7ALL ITEMS Tti4T.4PPL]' ;
E. TAYLOR
tlrn'rr - A'mx a• •+ppear; on fnln'e1' granter., -
i00 S. HULL ST., APT. 307
Addrros (Ahn tc andSnet)
FORT BRANCH, IN 47648
Div. State. rtn I ZJP Cork
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Telephone.Vu be, E -moil
SAI.FS DISCLOSURE FORM NIA
F I. Will this property be the buyees primary residence? Provide
address of primary residence. including comity:
209 SOUTH STREET
Address rNrnrher and Sio w)
HAZLETON, IN 47640 Gibson
Ow. Smre. and ZIP Cak Coanc
r 2. Does the buyer have a homestead to be vacated for this residence? If
yes, provide complete address of residence vacating. including couniv:
Eddrra (Abmberand Srree:)
Ciro. Slmr, mud ZIP Cade - Coven•
CAROL A. TAYLOR
But C, -Nom, as none.
60USFfULL ST., APT. 307
Address(A'nrnber oul Slre, ;,
FORT BRANCH, IN 47648
Cio', Stare. o,.d ZIP Cale
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3. Homestead
F- 4. Solar Energy Heating /Cooling System
F 5. Wind Power Device
F 6. Hydroelectric Power Device
r 7. Geothennal Energy HeatinwCooling Device
('— S. Is this property a residential rental property?
r 9. Would you like to recieve tax statements for this property via
e -mail? (Provide contact infonnadon below. Please see the
incfrnrlion,., inr mot ininrrnotion.:Ym in m all counties.)
Under penalties of perjury. I hereby certify that this Sales Disclosure, to the best of my unoswleage and belief. is true, correct anb complete as
required by law. and is prepared in accordance with IC 6- 1.1 -55, "Real Property Sales Disclosure Act ". (Note: Spouse Information, Sociat Security
and rver's License/other numbers are not necessary if no Homestead Deduction is being filed.
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