Homestead_Lieneman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D PREPARER_ 1,._ } J. Robert Kinkle Attorney Preparer 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._SELLE_RSS)ARANTOR(S).,-_ -_. _s_. • - Matthew B Beuligmann Denia Beuligmann Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7107 W 400 S. 7107 W.400 S Address(Number and Street) Address(Number and Street) Owensville.IN 47665 Owensville. IN 47665 City,State,and ZIP Code City,State,and ZIP Code E-mail Under penalties of perjury,I hereby certify that this Sales Disclosur ,to the best of my knowledge and belief,is true,correct and comple • .s required by law,and is prepared in accordance wi IC 6:1.1 ,"Real Property Sales Disclosure Act". ,-- A ,acrukk Sig :tureofSeller 1S. nature of Seller Matthew B. Beuligmann 117(2020 enia Beuligmann 1/7/2020 Printed Name o Seller Si.n Date(MM DO Printed Name ofSeller Sign Date(MM/DD/YYYY) F:13Y1TE ._: GRANTE _`_o! li_• ® ' ° 2'21_6 e_ U T �j/ E-mail TH'SALES DISLLUS Y BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE T.a :P, 1'g0onv� ' YES NO CONDITION YES •I CONDITION /T0... IZI ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead residence? Provide complete address of prima'' ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 7107 W.400 S. ❑ I] 5.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Owensville, IN 47665 G'.son ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 2.Does the buyer have a homestead in Ind':na to be ❑ o $• Is this property a residential rental prope vacated for this residence? If yes,provide ❑ WI 9.Would you like to receive tax statements fo this complete address of residence being vacated, property via e-mail?(Provide contact infor ation including county: below.Please see instructions for more inf.'rmation. 2342 S. Old State Rd.65 l Not available1 ^ in all counties.) Address(Number and Street) a`Q,- I O- 3 Vt-Lt Q O„ cn(_D.3 9 D_ (•°ai Owensville, IN 47665 Gibs, Zachary D.&Brandy N.Lienemann ` v'1 City,State ZIP Code Co •.0 Primary property owner contact name E-mail