Homestead_BeardINDIANA SALES DISCLOSURE FORAI SD F ID 26-2009-1000193 11L Page 2
PREPARER
J. ROBERT KINKLE HALL, PARTENHEIMER & KINKLE ATTORNEY
Prepurer of the Sales' Disclosure Form Title
219 N. HART ST., P.O. BOX 13 HALL, PARTENHEIMER & KINKLE
Address (Number and Street)
Oil% State. and ZIP Code Telephone Number E-mail
2
E..SELLER(S)fpRU \TOR(S).'L.,
MICHAEL D. WEST MELODY A. WEST
Seller Vame as appears on (o,wevancedocument Seiler Vame us appears oo ctin,eveince docmn,ru
RR 3 BOX 250 RR 3 BOX 250
,4d,h-a,, fN, .... be, and Steel/ Address fSoniber and Street)
ALBION. IL 62806 ALBION, IL 62806
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief. is true. correct and
-omplete as required by law, and i prepared in accordance with IC 6-1.1-5.5. "Re sure Act".
s a] Property Sales Disclosure
z � -
Sienauol�ol Seller Sign e ,f Seller /
D. 2-002 Wast
Printed Aame(f Seller Sign Date ttMVDD11 Yff) Primed leon(f Wer Sign Date (,VtVDD,1) YYY)
�R(S) . AN,7EF(S)--AP.PLICATtON FOR DEDUCTIONS ANID.CREIDITS - IDENTIFY ALL ITENIIS THAT APPLY
4 (1 - MICHAEL L. BEAR)
Bztycr-.Vamea�, ai�ooconvercan,edacumcnn
11757 �.RRYSTREET
A✓dre,, iNumber a .. ISI,,I) Address (Number and Street)
PATOKA, IN 47666
I. Will this property be the buyer's primary residence? Provid F 3 Homestead
complete address of primary residence. mcludm2 coumv: k� 7;i=�v Heating/Cooling System
6561 N. NIXON ROAD r J. ind Power Device
Address (Number andSreel) r 6. Hydroelectric Power Device
HAZLETON, IN 47640 Gibson 7. Geothermal Energy Heating /Cooling Device
City. State. and ZIP Code C ... nn S. Is this property a residential rental property?
2. Does the buyer have a homestead to be vacated for this
residence? If yes, provide complete address of residence vacating,
including county,
Address IN .... be, and Street;
City, State. and ZIP Code (7moac