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Homestead_Obert (8)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID',RREEARER)•- .'{ -- z, :':t ' . , '. C.777-71-7.T.--7,T7-77:: -.17-27r•x:, :r-77' . T> .- 1 J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkleehok-law.com City,State,and ZIP Code Telephone Number E-mail !EC,SE L'LER(S)s/.GRATOR(S)1 . - ';..>. .. ' '; - 7 .-r,-- _ - rT: Steven R. Obert Kelly A. Obert _ Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 4922 S. 550 E. 7922 S. 550 E. Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and omplete n as required by law,and is prepared in accordance with I S " al Property Sales Disclosure Act". Signature ofSeller Signature/6f eller Steven R Ohert 11/16/2017 Kelly A Obert 11/16/7017 Printed Name ofSeller Sign Date(MM/DD/rrn') Printed Name of Seller Sian Date(MM/DD/vm1 IF BU)YER(S)%GRAWEE(S)RACATIONEFORWP RORERPILTAXtDEQU_KIONS�xIDENTIFAYg ''_L',' 1D:. a111 ATEFAPPLYj •'.`" x- . `1 Mitchell Thomas(Merl - Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on cunveyanc-d%amen '• 7836 S. 550 E. ♦ :A. Address(Number and Street) Address(Number and Street) '2 - -' Fort Branch, IN 47648 A U 20 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TIII4' q LY. YES NO CONDITION YES NO CONDITION /Q'9 0 ❑ 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: 5318 E SR 168 ❑ NI 5.Wind Power Device 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 ❑ 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. Not available in all counties.) C Address(Number and Street) 24,0-/9- /.5 °i � o 77/ oa_J Mitchell Thomas Obert -7 City,State ZIP Code County Primary property owner contact name E-mail