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Homestead_HurstINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2 ;D-�PREPARER � .F�`-��.-.si'7�."`� L�":'�"'�':,.�,��.Ras: �_ ;d -_ 'LF �' u- ' _ � r Y,_-'•a- ° .. tr-'� � . - �wC_. . - J. Robert Kinkle Attomev at Law Preparero/rheSalaDiulosureForm Title 219 N. Hart Street Hall. Partenheimer & Kinkte Addras (Numbm and Street) Ciry, Smle, andLPCode Tdryhone Number E-mail �E:SE�I:ERS GRANTOR ��-A-��.'�'.�+i'�a�'�ti �+r��..i�F.,.� r.i:::4�.s.'`,u+","�:�'�� � ��'�'� :o,:;? �i';,^.'.;..-�S•x''a. Shirley J. Basham Sellw 1- Nome as appears m tonveyvnce document Sd/rr2 - Nameas appmrs m cvnveyance dacumml 5200 S_450 W_ Address(Numberond5veet) Add�(Numberand5bee[) Owensville. IN 47665 E-mvll Tde honeNUmWi E�mvi/ Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". gnu�sf�areu/.sdl � s�gnnmren/sd�n s' � / G �% 4S / PnntedNomeo Sd/er Si . Dom MM DO Pr(ntedNameo Stlltr Si nDate NM/Do `.F:BUYER S' GRANTEE S �:ABPLICATIONIFORPROPER7;YTAX•DEDUCTIONS=IDENTtFY.ALL'ITEMSTHATAPPLYI-' ' ' Chnsty L Hurst Buyc 1- Nameas appwrs on ronveyan�edrcvmen[ Buya 2- Name atappmrs om m�vryonre dacvmm[ 804 Jefferson Addres (Nvmberand Stree[) Addim (Numbrr andStree[) ewbu h IN 47630 Ciry.Smte, ondl/PCade C/ry.5mtq and ZIPCade £-mail Tde honeNum6er E-mail THE SALFS DISdOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUGTIONS FOR TNIS PROPERTY. IDEYTIFY ALL Of THOSE THAT APPLY. YFS NO [ONDRION YES NO CONDITION �✓ � 1. Will this property be the buyer's primary ❑✓ ❑ 3. Homes[ead residence? Provide complete address of primary � � 4. Solar Energy Heatlng/Cooling Sys[em residence, including county: f+220 S 450 W ❑ ❑✓ 5. Wind Power Device Addras(Numberand5tree[) . � ❑✓ 6. Hydroelectri[ Power Device Owensville IN 47665 Gibson � Q 7, Geothermal Energy Heating/Cooling Device Ciry, SW ce ZIPCOde Caunry Q� 2. Does the buyer have a homestead in Indiana to be � � 8• �s this property a residential rental property? vacated for this residence? If yes, provide ❑ ❑� 9• Would you like to receive [ax statements for this comple[e address of residence being vacated, property via e-mail? (Provide contact information including county: -. below. Please see instructions for more injormation. 804 Jefferson � A ot a�va/ilj!ble in all munties.) �J� Address (Nvmber and Stree[) �r f� �/�O C�� 3�U +�/� ',�a �'��`( Newburqh IN47630 Warrick ����si'u 1.... F�ia✓s� Ciry, Smte ZIPCOde Counry Pomaryympe�ryownermnmctname E-mail Under penalties of perjury, l hereby certify that [his Sales Disclosure, to [he best of my knowledge and belief, is tne, correct and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". [Note: Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is bein led.) � 5 ry rJguy r� '� I I AgnaNreo(Buya2/Spouse M1 v,;�redDa� Las[SdigiGSO(BuyerlDriver's Smte LastSDigi[sofSocialSecuriryNum6er LastSdigitso(Buyer2/SpouseDriver's Srnte Last50igitsoJSocialSecunty Lirense/lD/OrherNum6er Num6er License/lD/O[herNum6er