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INDIANA SALES DISCLOSURE FORM SDF ID Page 2 KAREN HARBISON VP Preparer of the Sales Disclosure Form Title 803 E STATE HWY 68 THE HAUBSTADT STATE BANK Address(Number and Street) Company HAUBSTADT IN 47639 E-mail •E SEL`I ER(S)GRANTO M3 ` _- _ _ _ _ .. -r ,... , ._ ......, S _' GEORGF B DAVENPORT,IR KRISTFN R DAVENPORT Seller 1-Name as appears on conveyance document 'Seller 2-Name as appears on conveyance document 12444 SOUTH BROOK DRIVF 12444 SOI ITH BROOK DRIVF Address(Number and Street) Address(Number and Street) HAUBSTADT IN 47639 HAUBSTADT IN 47639 City,State,and ZIP Code City,State,and ZIP Code knowledge and belief,is true,correct and complete as ui - by law,and is prepared in accordance with IC -1.1-5.5," al Property Sal s Disclosure Act". fiM .fin, .Pr (iM14 ,C Signature of Seller Signature of Seller GEORGE KRISTEN R DAVENPORT 06/19/2020 Pri am e of Seller Sign Date VI D/YYYY) Printed Name of Seller Sign Da IM DD/YYYY) ,Y iUYER(S)/.GRANTEE,(S)_,AP,PLICATION-FOR PROPE I'Y TAX�➢,"EDUCTIONS .IDENTIFY>ALLIThMS' ,_ATE P Y _` z.a , °„ I MARK R GOGEL KIMBERLY D LANKFORD-GOGEL Buyer 1•Name as appears on conveyance document Buyer 2-Name as appears on conveyance documEnt `` 208 E HIRSCH WOODS LANE 208 E HIRSCH WOODS LANE v V 9 Address(Number and Street) Address(Number and Street) <UZO HAUBSTADT IN 47639 HAUBSTADT IN 47639 GfluSOI) 1 City,State,and ZIP Code City,State,and ZIP Code O RUpf -mail T • ALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR S PRO Y ALL 0 R YES • •.0ITION YES NO CONDITION 0 0 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of p imary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 12444 SOUTH BROOK DRIVE ❑ 05.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device HAUBSTADT IN 47639 IBSON ❑ p 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Z 0 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,pro 'de ❑ 0 9.Would you like to receive tax statements for this complete address of residence being va ated, property via e-mail?(Provide contact information below.Please see instructionsfor more information. including county: f 20 E HIRSCH WOODS LANE Not available in all counties.) A•dress(Number and Street) HAUBSTADT IN 47639 GIBSON g,6 - '3_,la, J Do_ o n i . 9 . 0,, t City,State ZIP Code County Prima erty owner contact name E-mail