Homestead_WilkeINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D. PREPARER .. - _ ' ' '• -- -
'=_
`Chris Ferquson Closinq Aqent
Preparero/th<SalaDiulosureForm Tille
501 Main St Suite 101 Basse Title Comoanv
ACdras(NUmberondSo-re[J
E. SELLER 5 GRANTOR S '> - - � �- ' " `
Sfenhen R. VanMefer Michelle R_ VanMeter
Sel(er 1- Name as appears on convr}nnce davmmt Seller 2- Name ¢sappears m rom�eyanredocumml
�/3 S. Se.r� !�/. /G� �13 5 5ta'�. � 11.a
Addres(Number-u7n�-d5vee�) Address(Numberand50-ee[)
Under penal[ies of perjury, 1 hereby certify [ha[ [his Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and tompl [e as requir d by law, and is prepared in accordance with IC 6-1.1- "Real Proper[y Sales Disclosure Ac[".
,�.�� �'�-
Signaareof5eller a o/Shcer
Steohen R. VanMeter 10/22/2012 Michelle R. VanMeter 10/2�I2012 �
Pnb[MNameo Seller Si nDa¢f.vM/OD PrinredNameo SH/e� Sl nDa[efMM/DD
F. BUYER S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCT[ONS- IDENTIFY ALL ITEMS.THAT APPLY-� ---
Steohen M. Wilke Kristie J. Wilke
Buyer 1- Nome as appears on ronvryantt docvmen[ Bvyer2 - Name as appean m tonveyance davment
2027 N. Elm St 2027 N. Elm St.
Address(NUmberandSVeet) Addr¢s(NUmberandStrretJ
Henderson KY 42420 Henderson. KY 42420
E�mail
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCf IONS FOR THIS PROPEATY. IOENTIFY ALL OF TNOSE THAT APPLY.
YES NO COYDITIOY VFS NO CONDRION
Q � 1. Will this property be the buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heanng/Cooling System
residence, induding county:
778 W. Bravden Dr_ ❑ ❑✓ 5. Wind Power Device
Addr¢s(NUmEerondSUeee) ❑ Q✓ 6. Hydroelectric Power Device
Haubstadt. IN 47639 Gibson � Q 7, Geothermal Energy Heating/Cooling Device
Ciry.5muZlPlode launry
�� 2. Does the buyer have a homes[ead in Indiana to be � ❑`� $� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ 0✓ 9. Would you like to receive tax sfatements for this
wmplete address of residence being vacated, property via e-mail? (Provide rontacc informocion
including coun below. Please see instructions for more informadon.
$� E, v�� S� Notavailable in all counties.)
Address(Numbernnd5vee[J
��. t3vr.�a-,, \v, 411��1Fs Gi ��-1Sc36-za-� ��s.,� a7� oa4
Ciry,SrunZlPCade Counry -�
PnmarypmPerryo�vnerrontactname E-mail
Under penalties of perjury, l hereby certlfy [ha[ [his Sales Disclosure, to the best of my knowledge and belief, is We, corred
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa '� cial Security d Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
being f
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5{qnamreo/Buyerl 5(qnamreo(Byer2/Spouse �
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