Homestead_RusherIND(ANA SALES DISCLOSURE FORM SDF ID:
J RobeK Kinkle
Preparera%[heSales Disrlosure Form
Box 13 219 N. Hart St.
-es(Numbe�aiMSlreelJ
nnceton IN 47670
Liry, Smte, and ZlP fnde
r�e
Hall Partenheimer 8 Kinkle
fompony
E-moil
DarrPl G Thommm� ( Kathy L Tho^nson
Seller 1- Name as a➢P�rs om m�veyanre dacumenl Seller7 � Nome as appears om m�veynnce document
BfidQ W Whiqnaring Geek
Addres (Number a nd SVeetJ
Owencville IN 47665
City, Smte, and ZIP Cale
�/�—, �
6Fv14 W WhicpPring Creak
Address (Number and 5[ree[)
Owensville IN 47665
Under penalties of perjury, l hereby certify tha[ this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and c mplete as req �red by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
�! ati��c�� io-a �-� , ��w � �7/��ti�;�� lG��/ri
Sigim[urea(Seller � Signatureo(Se er �-
F.
Richard R Rusher
Buyer 1� Name asappmrson romeynnre documen[
4574 Ironwood Lane
'Addrea (Number arM 5[reelf
e Haute IN 47802
FY ALL ITEMS THAT APPLY
Buyer 2- Name os a0pmrs on ronveyance dacument
4574 Ironwood Lane
Addrrss (Num 6er arid Stmt)
Terre Haute IN 47802
Ciry•. Sm[e, ond ZIP Code
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCfI0N5 FOR THIS PROPERTY. IDEN'fIFY ALL OF THOSE THAT APPLY.
Q� 1. Will this property be the buyer's primary 1
residence? Provide complete address of primary
residence, including county:
('ii'idQ W Wh�G�n�fPPk
�Addrea (Num6er ond 5[reetJ
Owensville IN 47665 Gibson
Lity, Smfe Z/P Cade Caunry
✓� � 2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
including county:
45741ronwood Lane
Addres /Number and Street)
Terre Haute IN 47802 Viqo
[ity. Srute Zl➢ Lode Counry
3. Homestead �
4. Solar Energy Heating/Cooling Sys[em
� ✓� S. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Heating/Cooling Device
� ✓Q 8. Is [his property a residential rental property?
� �✓ 9. Would you like to receive tax statements for [his
property via e-mail? (Provide contoct information
below. Please see instrucrions for more injormation.
� �_I � oO Ii�'6lo/allc�oo�e/��—O d l
Richard R. Rusher & Gail L.
ronma name
E-mail
Under penalties of perjury, I hereby cerdfy that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". [No[e:
Spouse informadon, Social Security and Drive�'s License/Other numbers are not necessary if no Homestead Deducdon is
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aNreoJBvyer] SignaNreo/Buyeri/Spoutt �
a���ard R R�cher C'ail I Ri chPr
Printed legal Name oJBuyer 1 Sign Date [MM/DO/YYYkj
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Las[ 5 digiCS o%Bvyer ] Dnver's S[ate Last 5 Digi[t aJSocial5ecurity Num6er Last 5 digits o%Buyer 2/Spouse Driver's State Last 5 Digib o%Social Securiry
Lirense/ID/O[herNum6er Number License/ID/OtherNumber