Homestead_Thomas Jr 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)
ELLER(S)/GRANTOR(S) `
Habitat for Humanity of Gibson County. Inc
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1302 W. Brumfield Avenue
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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
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 D Signature of Seller
Ann Hyneman President July 15.2020
Printed Name of Seller Sign Date(MMOD/YYYY) Printed Name o/Seller Sign Date(MM/DD/YYYY)
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F R /€ (S) EI S) APPLICATIO FO,RPROPERTY TAX:DEDUCTIONS^IDENTIFY ALLITEMS THAT APPLY
r Daniel L.Thomas,Jr.
er 1- a e son co once document Buyer 2-Name as appears on conveyance document
1134 S. Stormont Street,Apt. 3
Address(Number and Street) Address(Number and Street)
T
Princeton, IN 47670 t
APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY ALL OF THOSE T � P 6 202(�C
YES NO CONDITION S NO CONDITION —
Z ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary �L�J 4.So d„sicoaticaDifiiligicSPEirOR
residence,including county:
122 S Madison Street ❑ ID S.Wind Power Device
Address(Number and Street) ❑ WI 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 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.Please see instructions for more information.
available in all counties.)
Address(Number and Street) -1' - 08. -r�S C\ ^ool ' a 2_ ro
Number License/ID/Other Number
i
1