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Homestead_Ferguson (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D..PREPARER.. . . `, J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 City,State,and ZIP Code • Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Wesley D. Haas Carolyn S. Haas Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 411 W Walnut St. 411 W Walnut St Address(Number and Street) Address(Number and Street) E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cc mplete •s required by law, d- prepared in accordance with IC 6-1.1-5.5,"Real Pro rty�as Disclosure Act". 6.-- GL A � GF�� Signature of SellerL Signature of Seller Wesley p. Haas 1/21/2020 Carolyn S. Haas 1/21/2020 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed NamegSeller _ Sign Date(MM/DD/YYYYJ F.BUYER(S)/GRANTEE(S).-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY . Cody B. Ferguson Shelden K. Ferguson Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears o oc ED 1816 Cottonwood Drive 1816 Cottonwood Driv Address(Number and Street) Address(Number and Stree Princeton, IN 47670 Princeton. IN 47670 ' City,State,and ZIP Code City,State,and ZIP Code JAN 2.4 20ZU 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 T [VON COUNTY AUDITOR YES NO CONDITION YES NO CONDI I 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 411 W Walnut St. ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El 0 ❑ 2.Does the buyer have a homestead in Indiana to be ElB• 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. 1816 Cottonwood Drive Not available in all counties.) Address(Number and Street) /� 1�� Princeton, IN 47670 Gibson 4 b 7 t (j '--Go 1 . 0'i q'Qz_e, City,State ZIP Code County