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Homestead_Brewer (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Dic,PREPARERz _ • , _r ' _..� ' -. 77-VI - J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide P.O.Box 13,219 N.Hart St. Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(athok-law.com Ciry,Stale and ZIP Code Telephone Number E-mail Robyn K Hirsch Seller 1'Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7874 S 42 E Address(Number and Street) ' Address(Number and Street) Fort Branch IN 47648 Under • • attics of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an I t etc as -quire y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sig ature o Seller Signature of Seller L•CO r . •'w .1 7/20/2017 Printed Name of Seller Sign Date(HM/DD/YYYY) Printed Name of Seller Sion Dote(MM/DO/YYYYJ .£::BU,YER(S)'/.GRANTEE(S)i.APP.bIEATIOWEOR'PROP.ERTaY_TAXDEDUCTIONSEIDENTIEVAL TEMS,THATAPP•LY;-_ Michael Brewer Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 7769 S. US Highway 41 Address(Number and Street) Address(Number and Street) B\ Fort Branch, IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATAPP1y c� 2017` YES NO CONDITION I YES NO CONDITION VI ❑ 1.Will this property be the buyer's primary ❑ 3.Homest8'0/• . � �/ residence? Provide complete address of primary ❑ © 4.Solar Energy He. a _ / eratit System residence,including county: ❑ 12 S.Wind Power Device 4(/Do. _7874 S..42 E. •04 Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch,IN 47648 _ _ -Gibson - ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County tg ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ $• Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 171 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) 2 6_,9 49.9.ao 9 co J. 33 9 t Michael Brewer City,State ZIP Code County Primary property owner contact name E-mail