Homestead_Williams (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
--_D'..PREPARER'-
•
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
•
219 N. Hart St.. P.O. Box 13 Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton,IN 47670 812-386-0050 irkinkle(Whok-law.com
City,State,and ZIP Code Telephone Number
E-mail
E:SELLER(S)JGRANTOR(S),- - — ---.-- — -
Michael I Wilson I inda K Wilson
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
811W 12005 811W 12005
Address(Number and Street) Address(Number and Street)
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 6-1.1- 5,"Re 1 Prop S es Disclosure Act".
12V /
Signature of Seller Signature of Seller
Michael! Wilson 10/2/2.017 J inda K Wilson 10/2/2017
Printed Name of Seller Sian Date(MM/Da/CT) Printed Name of Seller Sian Date IMM/DD/Yylm
.F:.BUYER(S)/GRANTEE(S). APPLICATION.FORPROPERTYTAX.DEDUCTIONS=.IDENTIFYALLITEMSTHAT.APPLY__ -_
Lee G.Williams
Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
500 E. Plum Street
Address(Number and Street) Address(Number and Street) F I L,
Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION `rn/y',-• ,�' ��
Q ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of primary UIBSHN CO/Loon AITR
residence,including county: ❑ IN 4.Solar Energy Heating/cooling system
811 W 1700 S ❑ 151 5.Wind Power Device
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8 Is this propert a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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)
Lee G.Williams 46,-2 a - 13- -cb t-H((a-oaf
City,Sta te ZIP Code County
Primary property owner contact name E-mail