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Homestead_Littlepage (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER • . J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N. Hart St., PO Box 13 Partenheimer,Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(tilhpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) •. •' .. • Judy Timberlake Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2818 N CR 875W Address(Number and Street) Address(Number and Street) Hazleton IN 47640 E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and com&ete as required bye 1 and istired in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act". (C ut,�! .tSp//•`/ms ! �m Si ure of Seller Signature of Seller Ju y Timberlake 1/24/2019 Printed Name of Seller Sian Date(MM/OD/YYn) Printed Name of Seller ' 1 fir Si to /DD/YYYF) IF.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY-TAX DEDUCTIONS-IDENTIFY ALL ITEMOHNF 417,L, , I • I :u conveyance document Buyer 2-Name as appears on conveyance documIAN 2 8 2019 413 E. Second Street Address(Number and Street) Address(Number and Street) 4 Hazleton, 47640 GIBSON COUNTYP AUDITOR City,State,andd ZIP Code City,State,and ZIP Code E-mail 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 YES .D..--CONDLT •N . ❑ ❑ 1.Will this property be the buyer's primary G ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 505 Catt Street ❑ 05.Wind Power Device Address(Number and Street) ❑ g 6. Hydroelectric Power Device Hazleton, IN 47640 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ WI 2.Does the buyer have a homestead in Indiana to be El ID 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) 424—. a O — Lf 9 - (Of-000 /t / -0/ Thomas A.Littlepage i �O City,State ZIP Code County Primary property owner contact name E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-S.S,"Real Property Sales Disclosure Act".(Note: Number License/ID/Other Number