Homestead_Ruedlinger 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 irkinkte(a hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . - .
Ouentin}ionby
Seller I-Name as appears on conveyance document Seller 2•Name as appears an conveyance document
413 Bradley Drive
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 co lete as required b law,and is prepared in accordance with IC 6-1.1-53,"Real Property Sales Disclosure Act".
Signs" tore of Seller Signature of Seller
nnentin Hnrnhy F 2/8/2018
Printed Name of Seller Sign Date(MM/DD/Ym1 Printed Name of Seller ` i .&cte(MM/DD/YYYY)
F. BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITF$4S'Z APPirY- B"I ''P I
Jacob Jeffrey Ruedlingj
5 ',r-t--A6.,,.-"rvppcvrs on conveyance document Buyer 2-Name as appears on conveyance da t
111 S. Campbell Blvd. b S 2018
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
r_
0 ❑ 1.Will this property be the buyer's primary n ❑ 3. Homestead
residence? Provide complete address of primary 11 fl 4. So ar nergy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
413 Bradley Drive
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
❑ I 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 ❑ 1 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) o?6-43-04- X03 -0oo. 685 .00 9
Jacob Jeffrey Ruedlinger
City,State ZIP Code County
Primary property owner contact name E-mail