Homestead_Stocker (2) INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
giri8RERARER, ^12 . , . -. _^. „,'fr. ;5;-' 7M, t- ^J. aT.T E:. –7,----4:;.— ,..-77.---T.:::::.
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
PO Box 13. 219 N. Hart St. Hall,Partenheimer&Kinkle
Address(Number and Street) Company
Princeton,IN 47670 _
E-mail
L£ SEbIiER(S)'/.GRANTAR(S)I-- :' -I' :11 as, a,, :a .. s P;.:.,,.= ---
Holly Patterson April Graper
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8099 N 50 W 8099 N 50 W
Address(Number and Street) Address(Number and Street)
Hazleton, IN 47640 – _ Hazleton IN 47640
City,State,and ZIP Code City,
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with I 6-1.1-5.5,"Rea Property Sales Disclosure Act".
/1.z, /- e–/G, I-,-i/
Signature of Seller Signor eofSeller
Holly Patterson April Graper
Printed Name ofSeller Sign Date(MM/DO/YYYY) Printed Name of Seller Sign Date(MM/OD/YYTY1
f`R^BUYER(S)%GRAN.T,EE(S)APP,ti1CAT .EO VZOPLEERTY:TA—kDEDU.CTION^S IDENTIEYALLJTEMSrTHAT.APPXYJ -"r-15-1‘s� .
Buyer Name easaper
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
217 E Glendale
Address -V��
Address s(Number and Street) Address(Number and Street) CA%
Princeton,IN 47670 11-
City,State.and ZIP Code City.State,and ZIP Code I. '
E-mail Telephone Number t ,SJ ' - all
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. N CrG�r
YES NO CONDITION YES NO CONDITION GO
0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ 121 4.Solar Energy Heating/Cooling System
residence,including county: ,
1543 N Hurst Circle ❑ f 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 1 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 ❑ YI 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.
n Not vailable in 11 counties.) / -{
Address(Number and Street) „(�- /9476/ 1, - 0a1
Pamela E.Stocker / pstocker@twc.com
City,State ZIP Code County
Primary property owner contact name E-mail