Homestead_BeanINDIANA SALES DISCLOSURE FORM SDF ID: ( Pa e 2
�Dk;PREPr1RER�.__�__ '_.- -. _-_ , . .
J. Robert Kinkle — - -- -- - - --' Attornev - - - -- - --- - - -- -- - - - - - —� �- - -�- -
Preparu o(the Salg D'udasure Form T��e I
219 N. Hart Sireet Hall. Partenheimer 8 Kinkle
Addr¢s(A'umbermd5treeq Compony
Princeton. IN 47670
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�E.-.SELLER S .GRANTOR S _ •_�._ _ � _ � - - � - -
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United Mineralc 11 f. I
Sellerl-A'omeasappairsonrome}anredocument Seller2-Nameasa rsonconv
PP� a}vncedocumen[ I
�09 Van Riiran PO Rox 400
Addras (A'umber and Stree[J Addras (Number and Stree[J I
Huntingb�rg IN 475d2
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Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief,�is [rue, correc[
and plete as required by law, and is prepared in accordance with IC 64.1-S.S, "Real Proper[y Sales Disclosure Act".
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Signamreo(Seller � . � / SignaNreofSeller I
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;E'�BUYERS`GRANTEES�,=:APBLIGATION�FORPROBERTY:TAXDEDUCTIONS�IDENTIFYALL.ITEh1STHATAPPLY.______ �
Wendell J. Bean Jr �
Bvyer]-h'ameasappenrsamm�veyan[edocumen[ $uyer2-Nameasappeorsamm�veyvncedotumen[ I
10212 E CR 350 S
Addre's (Numberand Stree[J Addr�s (Number and 5[reeQ I
Oakland Citv. IN 47660
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THE SALFS DISCLOSURE FO&N MAY BH OSED TO APPLY F00. CHRL118 DEDURIONS FOR TH IS PROPERTY. IDENTIFY ALL OF THOSE Tf63j�APPLY. I
YFS 60 CORDITIO\ YFS NO CONDITION �Y��v ;
0 ❑ 1. Will this property be [he buyer's primary 0 ❑ 3. Horry�54ead ZQ�s I �
residence? Provide comple[e address of primary � 0 4. Solar ��f� '� o ooling Syls[em ��
residence, including county:
❑ ❑✓ S. Wind Po�ver D y �
Addres(Numberand5treet) ❑ � 6. Hydroelectric Po�ve�rb�('� I
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Ciry,SmteZlPCode �v�ry ❑ 0 7. Geothermal Energy Hea[ing��ling Device
❑ Q 8. Is [h'� �!ty a residential rental property?
❑ Q 2. Does [he buyer have a homestead in Indiana to be �
vacated for [his residence? If yes, provide ❑ ❑ 9. u' .�e to receive tax sta�ements For [his
complete address of residence being vaca[ed, � _� via e-mail? (Provide co �toct information
_�ow. P(ease see instructions or more in ormation.
including county: f
� Not availa6le in all counties.)
Addr� (b'um6er and Svxt)
Gibson 2 �O " � 3' Z �o " �%� Cl7 � . �c3Q CU' 6
Ciry, Smre ZIPCode Counry
Primvryprapertyownerton[ac[name ( E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief,�is true, correct
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Discli�sure Act". (No[e:
Spouse informa[ion, Social5ecurity and Driver's License/Other numbers are no[ necessary if no Homes[ead Deduc[ion is
bein filed.) I
Signamre ofBvyer7 ` SSqnamre o(BUyer2/Spouse �
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LastSdigi[sa�Buyer2/SpouseDriver's Smte Las[SDigi6oj5ocial5ecunty
License/10/OtherNum6er Number License/!D/OtherNumber