Homestead_Reneer INDIANA SALES DISCLOSURE FORM SDF ID:
PHREEARER ? 777 3-1
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
219 N. Hart Street, P.O.Box 13 Partenheimer,Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 itkinkle(Thhok-law.com
City,State and ZIP Code Telephone Number E-mail
'.E-isEgEtrintitiNaiRs), rt-t-----7r7•---774--777--- :17; . Crri: 7:777.
Habitat for Humanity of Gibson County Inc
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1302 W Brumfield Ave
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under p enalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c8 plete as requiçejl by law, d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
I / I
nature f Seller Signature of Seller
Karen B-ghtel President 07/14/2017
Printed Name of Seller Slan Date(MM/DD/IVY)') Printed Name ofSeller Sian Date DDVDDIIM')
LRBUYER(S)-7,61:1A-NalEE(S)ZAPfiRLICATIONiF,ORMRORERTiVFAXWEDUCTIONVETETE V5-1'})—ATL'APP,Ifli
Melissa L.Reneer
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
409 E.Walnut Street JUL 14 2017
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION CONDITI .
D 1.Will this property be the buyer's primary 171 D 3.Homestead
residence? Provide complete address of primary [Li 4.Solar Energy Heating/Cooling System
residence,including county:
D IN S.Wind Power Device
130 S Madison Street
Address(Number and Street) El 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson El g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
2.Does the buyer have a homestead in Indiana to be
D 8. Is this property a residential rental property?
0
vacated for this residence? If yes,provide 0 WI 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) a 6-1 cz 3o(-to 3.)tis-soaZ
Melissa L.Reneer
City State ZIP Code County
Primary property owner contact name E-mail