HomeMy WebLinkAboutHomestead_Wheatley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
1 -,Y1-771-"Ti-i-t-5=7,-71-7ncr7.:57.7?:772.Llic. _:.71
Roman Ricker Attorney
Preparer n I ibe Soles Disclosure Fenn nth
219 N Hart St Hall,Partenheimer&Kinkle
Address('Nun her and Street) Company
Princeton,IN 47670 812-38641050 rricker@hpk-lavt.com
City.State,and 2/P fade Telephone Number E-mail
E:SE,IIER(S1IGRANTOk(S)17.111_:±77.7-:' ---;-:'":-2__ ''.;:-,:-.-'
Maxi Bradshaw meta Maxi C Htill-Paris
Seller I'Name as appears an conveyance document Seiler 2-Name at appears on conveyance document
PO Box 123
Address(Number and Street) Addren(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co iplete as required by law and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
A a-- /0 - 6—n
(11
Nig cture[/Seller Signature of Seller
Maxi Bradshaw n/k/a Mexi C Hug-Paris
Printed Name of Seller Sian Date Lum/DOMYY1 Printed Nome ofSeller Sion Date tuRICOOTM
'FAUYERIST/GRANTEE(SP:APPLICATION;EORIPR0PERTIYITAX■DEDUGTIONSEIDENTIFY:AUG'ITEMSITHAVAPP.htifr7*-tn;-.:C:-:.:
Nathan K.Wheatley
&yrs-I•Nome as appears 017 conveyance document Buyer 2-Name as appears on conveyance document
306 N East Mill St. Piz_
Address(Number and Street) Address(Number and Street)
Patoka, IN 47666
h
YES NO CONDITION I YES NO CONDITION gr en
e./41,...
0 D 1.Will this property be the buyer's primary 0 0 3.Homestead
residence? Provide complete address of primary D I21 4.Solar Energy Heating/Cooling System On.
residence,including county: 'Op
D 12 5.wind Power Device
306 N East Mill Si
Address(Nombre and Street) 0 0 6.Hydroelectric Power Device
Patoka,IN 47666 Gibson 0 Ej 7.Geothermal Energy Heating/Cooling Device
City,State 7JP Co* County
D gi
0 0 2.Does the buyer have a homestead in Indiana to be 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 Di 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)
all‘--61/dfr-4.1ari,0:C.0/5(0d6
City,State ZIP Code County
Primary property owner contact mime E-mail -,