Homestead_Tenbarge (16) ••
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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kathy Masterson CLOSING AGENT
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S) •
Tenbarge Family Trust dated April 5,2019
Seller 1-Name as appears on conveyance document Seller 2•Name as appears on conveyance document
11866S200E
Address(Number and Street) Address(Number and Street)
HAUBSTADTIN 47639 •
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number Email
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 ofSeller Signature ofSeller
Ronald L.Tenbarge,Co-Trustee 09/10/2020
Printed Name ofSeller Sign Dote(MM/OD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY .
Christa jean Tenbarge Brooks Martin
Buyer 1-Name asappeors on conveyance document Buyer 2•Name as appears on conveyance document
9899 Warrick Trail Apt 334 9899 Warrick Trail Apt 334
Address(Number and Street) Address(Number and Street)
Newburgh,IN 47630 Newburgh,IN 47630
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THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
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YES NO CONDITION CI
. YES NO CONDITION
1.Will this property be the buyer's primary —Nei ❑ 3.Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county ❑ r 4.Solar Energy Heating/Cooling System
❑ la 5.Wind Power Device
r
11866 S.200 E. ❑ `P 6.Hydroelectric Power Device
Address(Number and Street) ❑ ifg 7.Geothermal Energy Heating/Cooling Device
Haubstadt,IN 47639 Gibson ❑ 8.Is this property a residential rental property?
City,State ZIP Code County
❑ El 9.Would you like to receive tax statements for this
❑ ta 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information •
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
.including county:
Address(Numberond Street)
26-23-09-300-001. 682-024
)