Homestead_Gatewood (3) •
INDIANA SALES DISCLOSURE FORM SDF ID: Page
Scott Partenheimer Attorney
Preparer of the Sales Disclosure Form Title
112 Zimmerman Drive n/a
Address(Number and Street) Company
Princeton, Indiana,47670 812-306-6160
City,State,and ZIP Code Telephone Number E-mail
E SECL•ER(S)/GRANTOR(S)' '• _. . _- -_ ' _ _.. = =
Donald E.Truelock Maria Shea Truelock
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1821 Outer Lake Rd. 1821 Outer Lake Rd.
Address(Number and Street) Address(Number and Street)
Princeton, In.47670 Princeton, In.47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cam lete as required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Prope Sales D isci t sure Act".
Signature of Seller Signature of Seller
Donald E.Truelock /1 L/,,e 01 t� Maria Shea Truelock 0�//y/ao/V
Printed Name of Seller Si • Dote( M/DD/ITYI) Printed Name of Seller Sign Date(MM/DD/YYYI)
55;113-
BUYER(SJ/GRANTEELSJ IARPEICATIOMEORPROP,ERVJAXDEDUC-TIONS IDENTIFYAL'L'4TEM5THAT+APP.Iir i —7-3
Derrick Wayne Gatewood
Buyer 1-Name as appears on conveyance document Buyer2-Name as appears an conveyance document
217 S. Race Street
Address(Number and Street) Address(Number and Street)
Princeton,In.47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE Tq �
YES NO CONDITION YES NO CONDITION
31 ❑ 1.Will this property be the buyer's primary p ❑ 3.Homestead
residence? Provide complete address of primary ❑ E 4.Solar Energy Heatin) pRolinS7otim
residence,including county: ❑ L Z7,
S.Wind Power Device
Address(Number and Street) ❑ O 6.Hydroelectric Powe I vice
META . 7 • Device
City,State ZIP Code County ❑ Q 7.Geothermal Cil�j'U 1 • Pt AJDITOR
Er
❑ FM 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residenna ren I property?
vacated for this residence? If yes,provide ❑ 2' 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)
City,State ZIP Code County aG- l a-07 10_0 - ODO ,R019-0028
Primary property owner contact name E-mail