Homestead_Halbig 1-1'.''PiktOsikkR ;::''':,' :;:'„-C,-'-' ,.,.:.::' : :--''s --:'.: :_ s's,::':1':',... .. . ' ' :,- , ,- '''' ' ,':., - . :..-'s. .'-':::-'-- : .:.- '-] :s:'- -' ..-. ,- d
Preparer of the Sales Disclosure Form Title
J. Robert Kinkle Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N. Hart Street, Princeton, IN 47670
—
SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Estate of Phyllis A. Baumgart
Address(number and street) Address(number and street)
2073 W SR 68
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47539
Country Country
Gibson
E-mail address E-mail address Telephone number
Under penalties of perjury 'I hereby certify.this Sales4Disclosure,le trip 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 A,person who knowingly and intentionallyfalsifies the value of transferred
real property,or omits r' sifies any.mformation regui o be,provided,ycommits'a Level 5 felony: - ,
rin�Signat of S Iler Signature of S Iler
ame of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed g (mm/dd/yyyy)
Michael Baumgart, Co-Pers.fo
ep. 2/8/2021 Robert Halbig, Co-Pers. Rep. 2/8/2021
J BUYER(S)/GRANTEE(S) APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFYALL° T APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyances' ument-rl
Lee M. Halbig Kaitlyn N. Halbig 0 m
Address(number and street) Address(number and street) -
668 E 1025 S 668E 1025 S ' , •ea
City,state,and ZIP Code City,state,and ZIP Code c
j- Haubstadt, IN 47639 Haubstadt, IN 47639 0
nJ Country Country p ti
O Gibson Gibson z
-
• YES NO CONDITION YES NO CONDITION
p0 O residence?1.Will this property be the buyer's primary 0 3. Homestead
� O WI 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated O WI 5.Wind Power Device
O W/ O for this residence? If yes, provide address: 0 pJ 6. Hydroelectric Power Device
I Address(number and street)
N 668E 1025 S O WI7. Geothermal Energy Heating or Cooling Device
M City,state,and ZIP Code County
Haubstadt, IN 47639 Gibson 2-6'22_--02-10O -coo . DL ' -O2(4
T Under
Page 3