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Homestead_Hughen Is INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2 _—D.PREPARER!..1 : . - - _ ., 'r ^2- t <- - '., _ - . . 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(a�hok-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) -- - Maurice W.Hall Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 1503 Hawthorne Ct 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 corn lete as required b law,and/iss repared in accordance with IC 6-1.1-5,5,"Real Property Sales Disclosure Act". /pl iVvL( fi{required y,Gt( f si .m[ re of Seller / J(�J Signature of Seller Maurice W Hall ! r ` - 2O/ Printed Name o/Seller Sign Date(104/00111111 Printed Name of Seller Sign Date Dw/DDAYYY1 .F:BUYER(S)/GRANTEE(S) APPLICATION,EORPROEERTY>TAXDEDUCTIONS_IDENTIFYALL ITEMS THATAPPLY• ___mss Anthony Hughen Michelle Hughen Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 303 S 4th St. 303 S 4th St. Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 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 ����� I7] ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: DEC 2 2 . - 1503 Hawthorne Ct ❑ 0 5.Wind Power Device Address(Number and Street) ❑ IA 6. Hydroelectric Power Df vice °Z O)y Q� Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy I-T•s+�10• evice City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. [s this propert ONCOUl51tYl(1MFQR vacated for this residence? If yes,provide ❑ Z 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) City.State ZIP Code County Primary la-06- 1-101- 003. 8bl-oa8 Primary property owner contact name E-mail