Homestead_Hertel •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
- ri;— - - :' : -- - - -_
RER
Patti Kolb Closing Manager
Preparer of the Sales Disclosure Form Title
226 W Broadway St Broadway Title. Inc.
Address(Number and Street) Company
Princeton, IN 47670
E-mail
f
rES-SELLER(S)`/_GRANTCR(S)i. -- . --T. . ---.- -- - V • ---- _I
I
, Gary I Carpent°r Diana D Carpenter
• Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
I 6027S1050W 6027S1050W
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 I Owensville IN 47665
• City
E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete equired by la% ,and is prepared in accords with 6-1.1-5.5,"7-
Real Property Sales Disclosure Act".
•
Signature of eller /^ �; Signature of Seller
G ary I Carpen 0 ter 3 a2-S ,/� Diana D Carpenter D3/26/20/q
Printed Name of Seller Sian Date(MM/DD/ Printed Name of Seller Sian Date(Mtu/DDp9n1
_EafltYERLS)%CBANTEE(S) AP,1?L[CATIONfF,OR?RRQPERTsYLTAX..DEDUCTIONS IDENISIEYATL.ITEMSITHH'rinPPrE\I' ` ` __ )
/Jacob W Hertel \ Michelle L Garrett trC
Buyer I-Name as an n cowry-once document Buyer 2-Name as appears on coney daElmdii.J
3087W50S 3087W50S
Address(Number and Street) Address(Number and Street) MAR 2 9 2019
Princeton. IN 47670 Princeton,IN 47670
GIBSON COUNTY Al Inn-OR E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT' TIFY ALL OF THOSE APPLY.
YES NO CONDITION YES NO CONDITION
. 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary mg/Cooling System
residence,including county: ❑ ❑
6027 S 1050 W 5.Wind Power Device
Address(Number and Street) ❑ IZI 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
ID VJ 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 ❑ ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro ' 9 Provide contact information
including county: Blow. Please see instruc i r more information.
Not available in all counties.)
Address(Number and Street)
6 -11- ( g -4100 -000.243 -o
City,State ZIP Code
nmary ro erty owner contac MI: £ ail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct