Homestead_Brown (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PRE$ARER! . .. - -�.-
J. Robert Kinkle - Attorney
Preparer of the Soles Disclosure Form Title
219 N. Hart St.,P.O. Box 13 Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 Irkinkle(alhpk-law.com
City,State,and ZIP Code Telephone Number E-mail
:E SEI.'LER(S)/GRANT,OR(S): a _ . _. L — _.._t■ ,7 7 - —.c_- .-_ _ ---- :7:1_ r
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 Avenue
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
to the best of my knowledge and belief,is true,correct
and c plete as req red b ,law;and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.0/A 9Signature (Seller Signature of Seller
Karen B ghtel President
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date1M.M/DD/YVY1)
'F.,BUYER(S)%GRANTEE(S)I -AP.PI:ICATIONlFORSPROPERTWYTA 4bEDUCTIONSy1DENTIFY/ALL ITEM I741Til C\''1_- fi
Kristin N. Brown
HI_.J IL
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
1922 S.Old Highway 41 AI IG 7 2m8
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 /
THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I 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: ❑ igi
134 S Madison Street S.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 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 ❑ 0 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.)
Address(Number and Street)
Kristin N.Brown 9t0 a-3)1-004. zQ ,/�`�
ia 383 l/dE
City,State ZIP Code County
Primary properryowner contact name E-mail
Number License/ID/Other Number