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Homestead_Wheatley (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D::PREPARER-:_ •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 irkinkleCahpk-law.com City,State,and ZIP Code Telephone Number E-mail E:SELLER(S)/GRANTOR(S). ' . - - _ • Habitat for Humanity of Gibson County Inc Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1171 SStrnrt St Address(Number and Street) Address(Number and Street) Underjienalties of p • hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an i o plete as.requir-d.� 1. is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signal.re of Seller Signature of Seller IIw1-e I-I " " r-I 61O Printed Name of Seller Sion Date(n, OD/17191 Printed Name of Seller Sign Date WSi/DU/YYM .F..BUYER(S)/GRANTEE(S)s-APPLICATION FOR.PROPERTYTAXDEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY s - -• Jamie D.Wheatley Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document _126 S.Madison St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670 YES NO CONDITION I YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead - 1 ^ residence? Provide complete address of primary ❑ © 4.Solar Val Pis KV f3iiteIR residence,including county: ❑ Q 126 S Madison St S.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 1Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 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 instruct ions nsf r mo re information. Not available in all fp0 4/eta Address(Number and Street) !/!/7 �8 a6 la 08- 3oi City,State ZIP Code County Primary property owner contact name E-mail