Homestead_Elpers (17) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
iDI_PREPARER— t ` - I - =--t-.�L 4 K=_ t •. s = ' -1
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
P.O. Box 13, 219 N.Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkle(la hpk-law.com
City,State.and ZIP Code Telephone Number E-mail
E:.SEILER(S)'/.GRAN�TOR(S)_.,____--—- 'LT± _ _: - a- . - - .. -r.,-- -. . r 7.1
I
David Hipp I Mary.lo Hipp
Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveynnc
12632 S Scottsdale Drive 12632 S Scottsdale Drive y
Address(Number and Street) Address(Number and Street)
Haubstadt IN
o:'' 14814 gr ';%frog correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Hd6jy ¶ • Disclosure Act".
Signature of Seller Signature of Seller
dim <1
- . . .. •/ 6 ome.17 a-• . .'.. ii I - . '_ • .i / . 1 1
Printed Name of rer 7 Sian Date(MM/DD/YYYY) Printed Name of el-r / I �� Sign Date(MM/DD/I YVYI
T BUYER(S)/GRANTEE(S)=ARPLICATIONIFOR OPERTY-TAX4DEWET!aSP_iDENSTIF r• /L EMS :HAT'AI?PIY_ • " ',
Andrew J. Elpers Elizabeth A. Elpers
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2115 E.Warrenton Rd. 2115 E.Warrenton Rd.
Address(Number and Street) Address(Number and Street)
Haubstadt, IN
mail
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
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
114 S.Vine Street
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ 0 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.
�t
Not available in all counties.) p
Address(Number and Street) el 6— 1R -3 i - 363 -coo,3 Q nozi
Andrew J. Elpers and Elizabeth A. Elpers
City,State ZIP Code County
Primary property owner contact name E-
Number
