Homestead_Burger (3)INOIANA SALES DISCLOSURE FORM SDF ID: � PaRe 2
D.PREPARER �
J. Robert Kinkle
Preparer n(the SalesWwlosure Forrn
_�. Hart St.. PO Box 13
ss(Numberarul5trret)
Princeton IN 47670
Lint Smce, and ZIP Gde
Harrod DevelnnmaM I LC
Seller 1� Narne as appears on �omeynnce domment
AJJres (A'uniber and Sfrre(J
Fort Rranrh IN 47648
Cip�. Sm[e, onJ ZIP Code
�
ritle
Hall. Partenheimer & Kinkle
Compuny.
E-mail
Seller7 - Name as oppears um m�veyanre domment
Addrcsa (Mnn6er and Stree[J
rn, sr„re, a,�a zir �.�ee
Under e altles of perjury, l hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is [rue, correc[
and c�ilete asjeqyyF�d l�law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act".
- APPLICATION FOR PROPERTY TAX DE
documen[
AdJres (Nurnber ond SneetJ
_�eton IN 47670
mte, anJZ/PCode
Signalure oJ Seller
7-
Address (Numbe� and Stree[J
Princeton IN 47648
Ciry.Smte, and ZIP Code
ALL ITEMS
Jocumrnt
THF. SA6FS DISCLOSURE FORM MAV RF. I15ED TO APPLy FOR CERTAIN DEDULTIONS FOR THIS PROPERTY. IDF.M7F1' ALL OF THOSE THAT APPLY.
Q � 1. Will this property be the buyer's primary
residence? Provide complete address of E
residence, including county:
A01 F Sirain Street
Addrecs (Nurnber ond S[reetJ
Fort Branch IN 47648 Gibson
Ciry, Smte ZIP Code Lounry,
��✓ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addre.a /AYnnberond SfreeQ
Lity, Smle ZIP CoJe Launty
�✓ ❑ 3. Homestead
U n'—� � F� eating/Cooling System
� �✓ S. Wind Power Device
� Q✓ 6. Hydroelec[ric Power Device
❑ 0✓ 7. Geothermal Energy Heating/Cooling Device
� Q✓ 8. Is this properry a residential rental property?
��✓ 9. Would you like to receive tax statements for this
proper[y via e-mail? (Provide contact information
belo�v. Please see instructions for more information.
Not availoble in all rounties
�G -/9-i4- �oa -�oo. � - oa�
Nathan G. & Erin E. Buroer
name
E mail
Under penal[ies of perjury, l hereby cer[ify [ha[ this Sales Disclosure, ro[he best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
being filed.)
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�imre o(Bwurl SignnNrc o% Bu}'rr2/Spouse
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Las[ 5 digiGS of Buyer 1 Oriver's 5[a[e Latt .i Digi[s of Social5ecurih� Num6er Last 5 digits ojBuyer 2/Spause Dnver's State Last 5 Digi[s o�5ocial Securiry
Lirense/10/OLherXumber Number License/ID/OtherNum6er