Homestead_Brown (10) INDIANA SALES DISCLOSURE FORM. SDF ID: Page 2
D PREPARER...
J. Robert Kinkle Partner
Preparer of the Sales Disclosure Form Title
219 N Hart Street, PO Box 13 Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, Indiana 47670
E-mail
E.SELLER($) ,GRANTOR($) -s_._.:, ,
Brandi M Winget
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
901 Mohawk Drive
Address(Number and Street) Address(Number and Street)
Fort Branch, Indiana 47648
,
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
complete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Brandi M Winget 6/9/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name jSeller Sign Date IMM/Da/YYYY)
'F:BUY {$)/GRA..._ E(S)_e,APPLICATION:FOR PROPERTY TAX.DEDU,CTIONS _IDENTI,FY ALL ITEMS THAT APPLY - .
eith Eric Brown Emilie Ann Brown
Buyer 1-Name as a on conveyance document Buyer 2-Name as appears on conveyance document
106 East Foster Street 106 East Foster Street
. Address(Number and Street) Address(Number and Street) -7-1Fort Branch, Indiana 47648 Fort Branch, Indiana 47648 I
,®2020
Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTH PERTY. IDENTIFY ALL 0 OSE THAT APPLY.
YES NO CONDITION YES NO CONDITION s
yttOgEtt
❑✓ ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead GIBSON COUNTY AUDITOR
residence? Provide complete address of prima y . o ar Energy Heating/Cooling System
residence,including county:
901 Mohawk Drive ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Fort Branch, Indiana 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Z III 2.Does the buyer have a homestead in Indiana to be ❑ ill 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: . ease see Instruct/ e information.
106 East Foster Street Not available in all counties.)
Address(Number and Street)
Fort Branch, Indiana 47648 Gibson 26 1 q_\8 _,01 -co) . 001 -0 2- t_
City,State ZIP Code County