Homestead_Hiatt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.EREPARER _:_
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S)
Household Thoughts, LLC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
PO Box 502
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code
perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required 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
Brian Flli-s Managing Member 7/8/2020 •
Printed Name of Seller Sign DateSMM/DD/YYYY) Printed Name of Seller _ Sign Date(MM/DD/YYYY)
_
F •
�B,U EE(Sj;-APPLICATION FOR PROPERTY TAX,DEDUCTIONS=<I.DENTIFY TH P .._
/ Timoth A. Hiatt A - r
. B, - onveyance document Buyer 2-Name as appears on convey e
1607 W Brumfield Ave
Address(Number and Street) Address(Number and Street) JUL 1 0 2020
Princeton, IN 47670
E-mail Telephone Number GIRSC)N CO AUDITOR 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 YE NO CONDITION
Z ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead
residence? Provide complete address of primary - 11
6614.Solar Energy Heating/Cooling System
residence,including county:
❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ Z 6.Hydroelectric Power Device
❑ ? 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑✓ 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.Pleases ton information.
Not a e in all counties.)
Address(Number and Street) �7(-
6
Gibson G - - 12 k-o to . 86 6 - o 2 s
City,State ZIP Code County
Number License/ID/Other Number