Homestead_Bruce •
- IIODIANA SALES DISCLOSURE FORM SDF ID: Page 2 •
D.PREPARER
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1 J.Robert Kinkle Attorney
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Preparer of the Sales Disclosure Form Tale
219 N. Hart St.,PO Box 13 Hall,Partenheimer&Kinkle
Address(Number and Street) Com pony
Princeton. IN 47660 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Kelly Joe Besing
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11417 E 200N
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
Under pen. i, of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp • .s requi,ed by 1! ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Al.? 4/111' A .4......a '
Sig •Nre-f5 Signature of Seller
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•- :w e
hinted Nam . Seller Sian Date mN/oD/YYY1) Printed Name olSeller Sian Date LR.n/con-vY(
F.$1J ER(S] GRANTEE(S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
.red Bruce 'X , `l.'LtoJ Y,vin<,`�
er1-No - appears >nvevance document Byer 2-Name as appears on conveyance document
`_1338 N. 1200 E.
Address(Number and Street) Address(Number and Street)
®
Oakland City. IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ig
1338 N 1200 E 5.Wind Power Device
Address(Number and Street) n 0 6.Hydroelectric Power Device
Oakland City, IN 47660 - Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ SI 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) a to -1W-0(2 -200 - 000.o 4 o -00(0
Jared Bruce
City,State ZIP Code County
Primary property owner contact name E-mail