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HomeMy WebLinkAboutHomestead_Gonzales INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2 D:PREPARER___. — J. Robert Kinkle Attorney Prepare.of the Soles Disclosure Form Title 219 N.Hart Street,P.O.Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton. IN 47670 812-386-0050 jrkinkle(@hpk-law.com City,Stole,and ZIP Code Telephone Number E-mail Fstate of Maralee MOssberger Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 407 W Elm St Address(Number and Street) Address(Number and Street) Haubstadt IN 47639 Under •enalties of per' ry, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c l;p1•to . r is re, ry :w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sig ;titre of Seller Signature of Seller Te ;[ Fuhs Unsupervised Personal Ren 3/97/2017 • 'nred Name of Seller Sian Date(MM/DD/YYY17 Printed Name of Seller - I.•to(MM/OO/1YlY) : 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 (7] ❑ 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: 407 W Elm St ❑ gg 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Haubstadt IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode County izi ❑ 2.Does the buyer have a homestead in Indiana to be El $•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. 501 N.Willard St. Not available in all counties.) Address(Number and Street) Fort Branch, IN 47648 Gibson CW0— 18-310 - I/O 9 ' COQ. 0287-0i' City,State ZIP Code County Primary property owner contact name E-mail