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Homestead_Hawkins (2)
I • ,;.JDIANA SALES DISCLOSURE FORM SDF ID: Page 2 rD!PREPARERt1t _.S 7 ,` n s`--5`s 1:ts- r�'Ae^_.: a EL .1_' i . .. ".'.t_�_—_, � '. J. Robert Kinkle 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 irkinkle(a)hok-law.com City,State,and ZlP Code Telephone Number E-mail ErSELL•ER(SVGRANT,OR[S)X��' -' ,r ,....,Vr - - . Brian R Hawkins Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 324 W Emerson Street Address(Number and Street) Address(Number and Street) Princeton IN 47670 E-mail Telephone Numbe i E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the be f t Dot d belief,is true,correct and complete as r qu'red by law,and is prepared in accordance with IC 6-1.1- "'eal Property Sales Disclosure Act". x OCT 1 zo\a Si ature of Seller Signature of Seller • Brian R Hawkins 9/28/2018 • Printed Name of Seller Sian Date(MM/DDR1Y11 Printed Name of Seller IT D 'Sign Date(MM/DD/YYY1) .E,BUYER(S)%G TEEE(S)i :AP:P:LIGATION;EOR;PROP,ERTYtTAXiDEDUBTJONSQHDEQi� 6 Iti. T S'fT IWIRXPPLY/'.- —•"' _'i Dennis R. Hawkins - Buyer I-Name as appears on conveyance document Buyer 2•Name as appears on conveyance document , , 106 Oakland Avenue Address(Number and Street) Address(Number and Street) • Evansville, IN 47711 Email Telephone 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 I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary LI © 4.Solar Energy Heating/Cooling System residence,including county: 324 W Emerson 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 ❑ ED 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ M 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) G16 — ' -C `l - ID3 - DO°/�3 q— Dennis R.Hawkins Ve2 p City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number