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Homestead_Stevens (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER J James G.McDonald. III Attorney at Law Preparer of the Sales Disclosure Form Title 120 S.Main Street McDonald Law Office - - Address(Number and Street) Company - °; y lq'^1 y Princeton, Indiana 47670 812-385-4816 0 r City.State,and ZIP Code Telephone Number E-mail or 5 E.SELLER(S)/GRANTOR(S) George Frer+Ariirk HacsPlbrinck Executor . Seller I-,Name as appears on conveyance document Seller 2-Name as appears on 3727 Country I one GIBSON COUNTY AUDITOR Address(Number and Street) Address(Number and Street) Under penalties of pe jury, I hereby ertify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co /rlett as egyt red by a I,a is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 1 r]' y{ Si natur.ari.r I a Signature of Seller Lg S;POe Frederick Hatselhrinck Fxecutor /V/'/ //V/ Printed Name of Seller Sian Date(MM/DO/YYYYi Printed Name of Seller Sian Date IMM/DD/Yrrl F.BUYERS)/GRANTEE(S) =APPLICATION FOR'PROPERTY TAXDEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Blake P.Stevens Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on convryance document Io7C E 3505 Address(Number and Street) Address(Number and Street) _ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR T IS PROPERTY. IDENTIFY ALL OF THOSE TIIAT APPLY. YES NO CONDITION I YES NO CONDITION Z ❑ 1.Will this property be the buyer's primary 2 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence including county: ❑ 2 5.Wind Power Device 03 5�3AT E d (Nam and cep ❑ Q 6.Hydroelectric Power Device 030��'��� 7 71h7�� ibso" ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cade 1 County L g 2.Does the buyer have a homestead in Indiana to be ❑ 0 B. Is this property a residential rental property? vacated for this residence? If yes, provide ❑ 2 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. 7U e 35 S Not available in all counties.) ,. ss(Number and Sere-0 .70 / e .elf. . / ._ ac, — Ia-9.1 - yoo - oa4kfif-oan City,State ZIPCode County Primary property owner contact name E-mail