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Homestead_Spicer ALES DISCLOSURE FORM SDF ID: Page 2 <bbert Kinkle Attorney rreparer of the Sales Disclosure Form Title 219 N. Hart St., PO Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 E-mail E._SELLER(S)/GRANTOR(S) y William C. Hoskins Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 304 N Center Street Address(Number and Street) Address(Number and Street) Francisco, IN 47649 Te ephone Number 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 a�plJ ete a qu- d by la L and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of SSelvlerl, Signature of Seller William C. Hoskins 12L31/2019 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller ,Si D.e(MM/DD/YYYY) F.BU.YEI2(S)I GRANTEE(S)—APPLICATION FOR_PROPERTY-TAX DEDUCTIONS_IDENTIFY ALL IT IS:1I.a :1?_$, Y� .e Coltin Jamie Spicer Buyerl-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doc 'Ji € 3 1 2019 11015 E. 100 S. Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 City,State,andZlP Code GIBSON COUNTY AUDITOR Telephone Number 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 NO CONDITION ❑ 1.Will this property be the buyer's primary 2 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 304 N. Center Street ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 2.Does the buyer have a homestead in Indiana to be El ❑✓ 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, 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� 2 q Coltin Jamie Spicer ��_ _1 1 "°J -000 0O2 O0r City,State ZIP Code County Number License/ID/Other Number