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Homestead_Brown (29) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Roman Ricker Attorney Preparer of the Sales 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 rricker(Thhpk-law.com City,State,and ZIP Code Telephone Number E-mail ,:-:"..-..:,:f:-(ark —; — ;:- :; t_-- - 77 . .--_---_-_ - H a b i t a t t for Humanity of Gibson County Inc Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document 1302 W Brumfield 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 co plete as re el ired by law,and is prepared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act". gnatur of Seller Signature of Seller Karen eghtel President 7- 1 () Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYII F: BU,YER(S)/G�RANTEE(S)°nAPPL'IGA TIONFQRtP RO,PrERVATAXWEDUCT10NS5`IDENTIFYfAEL p-Am 'P, l i - f Chelsey R. Brown gA'S 1tiL is/33A 11J}Lfu Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5175 S.875 E. MIG 8 2018 Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION Q ❑ 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: 818 S Stormont Street ❑ IN 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device ; City,State ZIP Code County - ❑ � 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 ❑ IA 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) Chelsey R.Brown 3-1 a--1 S-a o a-000.D1U-eaa City,State ZIP Code County Primary property owner contact name E-mail