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Homestead_Beghtel
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 lrkinkle(tilhpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . • Kristnnher W Mowrer Leah M Mnwrer Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3931 W 200 5 3931 W 200 5 Address(Number and Street) Address(Number and Street) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and compl- - - -•uired by I w nd is prepared in accordance with I '1.1-5 .,"' :. Pr t r • r y Sales Disclosure Act". wnature;'"475- ran•cure of Seller 2` ,� 1(tPin ed Na Name Seller [i2 yEee /D Leah ed Mowrer C>r`(1 °DO/41 Printed Namr o(Seller Siar Jute( /GO Printed Name at Seller Sian Date(HM/DD/YYYYI F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Cad David Beohtel Karen L. Beohtel Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document 803 S. Hall 803 S. Hall Address(Number and Street) Address(Number and Street) Fit y-l� ,t 1 If THE SALES DISCLOSURE.FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I Y NO CONDITION ,/ I _ _ W • ij r 0 1.Will this property be the buyer's primary Q ❑ 3. Homestead GIESOPJ COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ jg 5.Wind Power Device Address(Number and Street) ❑ II 6. Hydroelectric Power Device ❑ Q 7.Geothermal Energy Heating/Cooling Device City; ate ZIP Code County fir ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? !ryes,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. te21? S • Pine-- �7 C�I Not available in all counties.) Addresgt, poctr)/(/ v / %76'7D c2(,- I I _a I—�OV —00 o 18-0a7 City,State 11 Code County Primary property owner contact name E-mail