Homestead_Hinshaw 7
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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Jeannie M.Kiesel Director of Operations
Preparer of the Sales Disclosure Form Title
221 NW Fifth Street Lockyear Title, LLC
Address(Number and Street)
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Christopher J. Nossett Kaleb T. Nossett
Seller 1- Name asap earscii veyancedo ument ;Seller 2-Nagle as cigarso onveyancedocument
7esN\ rand . 1 dress(Number and Stre ) . �to�Q
•
and belief,is true,correct
complete as required by 1 ,}�an+d is prepared
�iin,aaccordance t 6-1.1-5.5 "`,Real VA
-pert Property Sales Disclosure A "
Signature of Sella, l, t—t ti A Signature of Seller ' (.
Christopher J. Nossett by Brian D. Nossett,AIF 11/9/2020 Kaleb T. Nossett by Brian D. Nossett,AIF 11/9/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Larry Hinshaw
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
126 First Avenue
Address(Number and Street) Address(Number and Street)
Oakland City, Indiana 47660
E-mail Telephone Number Nov 12 2020 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. n,
YES NO CONDITION YES NO CONDITION ,]/�Y•
❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:126 First Avenue ❑ CI 5.Wind Power Device
dddress(Nu bar Vail
❑ ❑✓ 6.Hydroelectric Power Device
Oakland Lily,Indiana 47660 Gibson
❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El 2/ 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,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.
Not available in all counties.)
Address(Number and Street)
26-13-13-402-000.775-007
City,State ZIP Code County
ID/Other Number
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Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
1 being filed.)
Signature of Buyerl Signature of Buyer2/Spouse
j Larry Hinshaw 11/9/2020
Printed Legal Name of Buyer 1 Sign Date(MM/DD/YYYY) Printed Legal Name of Buyer2/Spouse Sign Date(MM/Do/YYYY)
Last 5 digits of Buyer l Driver's State Last 5 Digits of Social Security Number Last S digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security
License/ID/Other Number Number License/ID/Other Number