Homestead_RickettsINDIANASALESDISCLOSUREFORDI SDFID:
FTepare� o(the Sa/es Disdosure Form
"'� N. Hart SL. PO Box 13
ess(Numberond5tree�)
Princeton IN 47670
Lint Sm[e, and ZIP Code
E.
Seller 1� Nome as appears on conveyance document
Addrecs (Number and S[reet)
Prin�Pton IN 47670
Ciry, Smre, and ZIP Code
�
riUe
Hall. Partenheimer & Kinkle
Company
Telephone Num6er E-mail
Seller Z- Name as appean on Conveyanre document
AdAress (Number ond Sveet)
Ciry, Sm�e, and ZIP Code
Under penalties of perjury, t 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-S.S, "Real Property Sales Disclosure Ac[".
��� � �,�-._-'�
Sign mreo eller Signamreof5elle�
.lacon S Eckert �. i G�/�~
Pnued. . e�e� SionDa[e1MFl/DD/YriYI
IDENTIFY ALL OF THOSE`4FlAT APPLI'.
�✓ � 3. Homestead
gy Heating/Cooling System
� �✓ 5. Wind Power Device
� �✓ 6. Hydroelectric Power Device
❑ �✓ 7. Geothermal Energy Heating/Cooling Device
� �✓ 8. Is this properry a residential rental property?
� ✓❑ 9. Would you like to receive tax s[atements for [his
property via e-mail? (Provide contact information
6elo�v. Please see instruc[ions jor more information.
Not ovoilo6le in all countie�3 � Qa J�
�?G , ia i�. aa�- ooa.
Ross Ricketts & Leslie Bruce
name
E-mail
Under penalties of perjury, I hereby cer[ify that this Sales Disclosure, [o 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 AcY'. (Note:
Spouse information, S ial Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
b�i� g led� ^'
-.mrea( w�rl SigmmreoJBv}�er?/Spouse � /
%`
I cl'c Rncc Rirk ttc y- �' zC(b
Pnn[ed Legal Name o(Buyer 1 Sl9n DO[P [MAI/DO/Y19YJ
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Las[ 5 digiGS of Buyer 1 Driver's Smte Last 5 Digits o%Sociol Security Number
Gicense/lD/Other Number
I aclia Rrura PPrry ���'�I� ��C�-4'� �/ Y��f`Z
Printed Le�9al A'Omeo(Buyer2/Spouse Sign Dare IA DD/}YYIj
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Las[ 5 digiGS o�Buyer 2/Spouse Driver's State Last 5 Digirs o%Social Secunry
Number License/!D/OtherNumber