Homestead_Hughen INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER i
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart. P.O. Box 13 Partenheimer, Kinkle& Ricker
Address(Number and Stmt) Company
II Princeton IN 47670 - 812-386-0050 irkinkle @hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
£.'SELLER(S)/GRANTOR(S) . - I
Troy D Willis Michelle L Willis
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1132 N Old Hwy 41 1132 N Old Hwy 41
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 complete as re uired by law,and is prepared in accordance with IC 6- 1-5.5,"Real Property ales Disclosure Act".
Signature* Signature of Seller
Troy D Willis 12/8/2017 u' r- - s . r
Printed Name of Seller Sign Date(MM/DD/Ym) Printed Name of Seller I I 3 5'. the •. /DD/YrvYi
F.BUYERS)/GRANTEE(S) 'APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM:T ,t <PPA i • , `
:.r.1HTS7w:lltl�'TSi� Jacinda J.Thompson
'ItIIIIIIIMEMIIPPIPP.Irl,conveyance document Buyer 2-Name as appears on conveyance documEEC 1 1 201/
2401 W.450 N. 2401 W.450 N.
Address(Number and Street) Address(Number and Street) ���
Patoka, IN 47666 Patoka. IN 47666
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
0 ❑ 1.Will this property be the buyer's primary • • 3. Homestead
residence? Provide complete address of primary • TA . oar nergy Heating/Cooling System
residence,including county: ❑ IN
1132 N Old Hwy 41 5.Wind Power Device
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ [ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ [ 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 ❑ El 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) a1P - // -0/ - ,DO • 0 0 A .-(4, QA 27
Matthew L.Hughen Jacinda J.Thompson 1
City,State ZIP Code County
Primary property owner contact name E-mail