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Homestead_Lewis
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Di PREPARER, T erg :tT —_ —� J. Robert Kinkle Attorney -_- Preparer of the Soles Disclosure Form Tide 219 N Hart St Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(a hpk-law.com City,State,and ZIP Code Telephone Number E-mail E..SELLER(S)%GRAN,T,OR(Sji�_" : .- - _. , - °Vi=a' •d t, 7.7 . 7.-777-7"--.;:'LL -.-,t: i• Gibson County Holdings I LC Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 6585 N 25 E Address(Number and Street) Address(Number and Street) Ha7letnn IN 47640 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my kno b e,correct and complete as re uire by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro a s D o• ;r•ct". Signature ign of Seller / c/ / Signature of Seller A 2O1C Mark S Isaacs -Presideat M011€r 8/t /� AUG Y' U Printed Name of Seller Si nD a(MM/DDJrn'fl Printed Name of Seller Si n Datp4MM/DD/YYYYi KALD/ER(SV GRANTEE(S)_APPLICATIONCEMPROPERTXTAkIDEDUCTIONSV IDENTIFIALLITEMS c- S"mil Joshua T. Lewis Michelle A. Lewis GIBSON COUNTY AUDITOR Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 801 West School Street 801 West School Street Address(Number and Street) Address(Number and Street) Francisco, IN 47649 Francisco. IN 47649 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 6709 S SR 57 ❑ 5 S.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Oakland City IN 47660 -Gibson _ ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cade County ❑ o 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) AZ, -a6- L4 - ILU - bpa . t,'3,Q _ ap1 City,State ZIP Code County Primary property owner contact name E-mail