Homestead_Hamblin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
•D.PREFARER
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street)
E-mail
Caren K. Richeson Connie J.Deen
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
114 S.3rd Avenue PO Box 215
Address(Number and Street) Address(Number and Street)
Oakland City.IN 47660 0aklan
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of n ledge and belief,is true,correct
and cy7plete as reqtlred law,and is epared in accordance with y 6-1.1-5.5 " eal P o erty Sales ' closure Act".L
Signature of Seller Signature of Seller
Caren K.Richeson 9/17/2020 Connie J. Deen 117/2020
Printed Name of Seller Sign Date L.Mm/DD=___ Printed Name of Seller -FILEJ,n I,te(MMIDD/YYYYL__
F.BuyEKsvoRANTEtts)-APPLICATION,FOrt.PROPERTY•TAX DEDUCTIONS,-,IDENTIFYALL ITEMS THAT APPLY
effrey Dale Hamblin S EP 2 1 2n2n
onveyance document Buyer 2-Name as appears on conveyance document
92 W 800 S.Apt.2206
Address(Number and Street) Address(Number and Street) )(jiatit_
Fort Branch, IN 47648 GIBSON COUNTY AUDITCM
APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
171 0 1.Will this property be the buyer's primary r=1 0 3.Homeste3B---)
residence? Provide complete address of primary Ei z 4.Solar Energy Heating/Cooling System
residence,including county:
0 z 5.Wind Power Device
3388 S 350 E
Address(Number and Street) E yi 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson 0 z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 Z 8.Is this property a residential rental property?
0 171 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 0 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.
Not available in all counties.)
Address(Number and Street)
4- /2 . 24- .3oo - Dot 8.71 -005/
Number License/ID/Other Number