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Homestead_Theising
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 :DiPREPARER?--L .—" -r +i:ci-a: — - Cnir tr 77::..7:-7;•;1177t.7,7 :g `--7/1:- --- - �a 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 mail SELLER(S]/GRANTAR($T‘j` '_t fi' +: ,—` '. r} �'*''s '. _... : ..d3�:is.t �� s': ili -`.r :y. r`i , Marianne I ingis Seller l-,Name as appears an conveyance document Seller 2-Name as appears on conveyance document 511 S 9th Avenue Address(Number and Street) Address(Number and Street) Haubstadt IN 47619 that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an complete as required by law,a d isgpared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". _h6sZ4LA nl�f� (Signature of ler Signature of Seller Marianne I ingis 4/18/2019 Printed Name of Seller Sion Date(MM/OD/YYYY) Printed Name of Seller Sian Date(MM/OD/rvnt ;F:,BUYER(S)%GRANTEE(S)TAPP,L'ICATION1EORil?ROP.ERTY:• _ " - u;TAX4DE000TIONS"dDENTIFYsALL ITEMS_THAT'APPLYi" "',_ . , Dean Theising Crystal Theisinq Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4333 Bell Rd.Apt. 1303 4333 Bell Rd.Apt. 1303 Address(Number and Street) Address(Number and Street) Newburgh, IN 47630 Newburgh, IN 47630 YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ cc adresidence? Provide complete address of primary ❑ © eating/Cooling System residence,including county: 513 S Nth Avenued Powert� lye Address(Number and Street) ❑ 06.Hydr &trRc 'over Ded - Haubstadt, IN 47639 Gibson 0 IA 7.Geothermal Ene.N 'sating/Cppoling Device City,Stare ZIP Code County • .`((�P otl ❑ [ 2.Does the buyer have a homestead in Indiana to be ❑ 08. Is this . j•,l ..� : �i #Q)aI rental property? vacated for this residence? if yes,provide ❑ 0 9.Woule�d' (Euume-to receive tax statements for this complete address of residence being vacated, p®\cry via e-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) �1 •� n - r�M ODD p /�f� Dean and Crystal Theising c2,Q3 6 a"-coo•_O�'_✓V f City,State ZIP Code County Primary property owner contact name E-mail