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Homestead_Whitfield (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -- - - -- _ - ---. - _... - -- _-F_, li P -. REPARER , .. . - - . -- - - - J. Robert Kinkfe 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 irkinkleehpk-law.com City,State,and ZIP Code Telephone Number E-mail - Sheila R Maikranz Joyce A Dewig Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 905 S-Lincoln PO Box 404 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 omplete as re i uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property/Sales Disclosure Act". �) -__ _:/ . Q` CR/I l• (QC7_[.t)-t V �z Signature of Seller • J Sig ure Weller Sheila R Maikranz - /n- /3 Joyce A.Dewig _ - r8 — 7- (s" Printed Name of Seller Sian Date(MM/DD/YYn) Printed Name of Seller Si nDate(MM/DD/YYYY) .F:.BUYER(S)/GRANTEE(S)tAPPLICATIONFOR�PROPERTYTAX•DEDUCTIONS_IDENTIFYA[ ll'-E1S�FHA`I P, _[ _ ' . _- _ - Jamie Whitfield p7—v Pl 11A.J IS Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document PO Box 4, 102 E.Gibson St. ,A,UG 1.9 2015 Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 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 2 ❑ 1.Will this property be the buyer's primary 2 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 301 S Fourth Ave ❑ 15 S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Z 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 instructions for more information. /� Not available in all counties.) Address(Number and Street) /�() )9 -3 I - t701� 00 . 1 /'1 //00P City,State ZIP Code County [l/,1/ "' 1 J 30q-CI ` JVYVI It !/Y Primary property owner contact name E-mail