Homestead_Benson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street,PO Box 13 Hall,Partenheimer&Kinkle
Address(Number and Street) Company
Princeton. IN 47670 812-386-0050 jrkinkle@hok-law.com
City,State,and ZIP Code Telephone Number E-mail
- Rebecca I Benson
Seller 1-Name as appears on conveyance document .Seller 2-Name as appears an conveyance document
.919 N.
At!"(Number and Street) Address(Number and Street)
Under penalties of perjury.! hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig attire of Seller Signature of Seller
Rebecca L Benson iopois-
Printed Name of Seller 510/1
)ate DM D/MT) Printed Name of Seller -.— Sion Date(ADDITD/M1)
i F.-BUYER_CSI/GRANTEE(S),-,.,APPLICATION.FORPROPERTYTAKDEDUCTIONS&111B-NTIF`LALL1T- T AIAL14.41.1 ' ' •-. .7„
-li—/
Roger Lee Benson
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
330 E. Harrison Street JUL 06 7015
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
04/imicibiN
THE SALES DISCLOSURE FORNI MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY,
YES NO CONDITION YES NO CONDITION
g 9 1.Will this property be the buyer's primary lA 9 3.Homestead
residence? Provide complete address of primary 9 g 4.Solar Energy Heating/Cooling System
residence, including county:
9 fl S.Wind Power Device
Address(Number and Street) 9 g 6.Hydroelectric Power Device
9 g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
9 g 8.1s this property a residential rental property?
9 g 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide El El 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)
eC6- 14--)g-Wol- goo 069-00 1
City,State ZIP Code County
Primary property owner contact name E-mail
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