Homestead_Stocker INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
EIVP,,REPARERr-f _ . , . - c'a =n-. - en.( .-7 - -.r."-AY'v z._�r.;,,v_
J. Robert Kinkle Attorney _
Preparer of the Sala Disclosure Form Tide
P.O. Box 13.219 N. Hart St. Hall, Partenheimer& Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkle(dhpk-law.com
Oty,State,and ZIP Code Telephone Number E-mail
IETSELiikiti%GRANTORISj 7T- _5._7:(; v_r-c_:7 ,_._...-Wr , -
Country Ayre Inc
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2262 E Warrenton Road
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47619
Under enalties of perjury, hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and so plet�i g . law,and' epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller // Signature of Seller
P. .-.r...-„:-- t 12/16/2016
Print, 'case of Seller Sian Date(MM/DD/YYYt) Printed Name of Seller Sign Date(HM/DD/YYYY)
iTAIL I YER(S)%GRANTEE(S)1 _Meth GATIONIFORIP,ROP,ERM AXIMET GTIONS ENTIE0130ITiHMSITHATIAP,P,CY 7; -='=1:
Sharon L. Stocker
Buyer I-Name as appears. conveyance document Buyer 2-Name as appears on conveyance document
1• - - - -oad 64 ,QT ?�
Ate-' Address(Number and Street) -// / �r ris
_Princeton,IN 47670 /1(/��
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE T17Af&
YES NO CONDITION 'x NO CONDITIO. CQ/ /A/
0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead AUO
residence? Provide complete address of primary '7 , 1 $ - : Heating/Cooling System/TOR
residence,including county:
612 S.9th Avenue ❑ 0 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Haubstadt. IN 47639 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
p 1:1 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 ❑ Ei 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.
1915 E. State Road 64 Not available in all counties.)0 /07_00 O
Address(Number and Street) a6 -023 -o6-&oo-000 • J
Princeton, IN 47670 Gibson Sharon L.Stocker
City,State ZIP Code County
Primary property owner contort name E-mail