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Homestead_Reinhart (5)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER • rPe J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St_ PO Box 13 Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton, IN 47670 City,State,and ZIPCode Telephone Number Email E.SELLER(S)/GRANTOR(S1 James L Sievers Diane B Sievers Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 104 S Walters Street 104 S Walters Street Address(Number and Street) Address(Number and Street) Fort Branch IN 47648 E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct nd comple rD Bred by Ias an 's prepare i1 accordance with I 1.1-5.5,"Real Proper y Sales Disclosure Act". - • 2 6 � Signature of Seller- Signature of Seller James L Sievers by Diane B Sievers POA 6/5/7019 Diane B Sievers 6/5/2019 Printed Name of Seller Sian Date iMM/DD/YY1) Printed Name of Seller Sian Date(MM/D0/YYYY1 F.BUYER(S)/GRANTEE(S)—APPLICATION FORtPROPERTYTAX DEDUCTIONS-'IDENTIFYALL,ITEMSTHAT c _ 'r"1'f6` •- Samuel W. Reinhart Buyer)-Name as appears on conveyance document Buyer 2-Name as appears on convey ocume}� 5218 S. 100E Address(Number and Street) Address(Number and Street) Vp�q1•4 Princeton IN 47670 City,State,and ZIP Code City,State,and ZIPCode J / 09% E-mail Telephone Number •�.I P.' Email THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT __`` QV C. YES NO CONDITION ( YES NO CONDITION O\_ ❑ ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead 6y®V residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑ 104S.Wind Power Device S Walters Street Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson 0 2 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 2 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) 1 ^ Samuel W.Reinhart — D.1, -I(�-1 -%2-L4Th- CQ !---1� — City,State ZIP Code County Oat() Primary property owner contact name E-mail Number License/1D/Other Number