Homestead_Wilkinson (2) 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 8 Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkle(glhpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - • -
Tim W Dyer Kathy A Dyer
Seller I-Name as appears on conveyance document Seller-Name as appears on conveyance document
210 W Marten Street 210 W Morton Street
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660 Oakland City IN 47660
E-mail
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 Ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Reaj-Prope Sales Act".
.✓ (V1\
Signature of Selle Signature of Seller
Tim W. Dyer _ 5/31/2018 .- 1 s II - .1_1
Printed Printed Name of Seller Sign Date(MM/DD/YYYYI Printed Name of Seller • r Sign Die- M 1D '■
F.BUYER S GRANTEE(S):APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS T -. A"'.'._A '
John P.Wilkinson Regina M.Wilkinson JUN 0
.. - .. .nveyancedocvment
Buyer 2-Name as appears oncon veyancedocument 4 2018
239 Briargate Road 239 Briargate Road
Address(Number and Street) Address(Number and Street)
Washington, IL 61571 Washington, IL 61571 • ••
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION • CONDITIO:
0 ❑ 1.Will this property be the buyer's primary [zi ❑ 3. Homestead
residence? Provide complete address of primary • 6 a, -1 •.ting/Cooling System•
residence,including county: ❑
210 W Morton Street S.Wind Power Device
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Q 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 ❑ 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,
239 Briargate Road Not available in all counties.) S.Address(A'umber and S t r e e t) d/ . /c/- / ? _/0 ] _coo. 4 9 s _ o o 7
Washington. IL 61571 John P.&Regina M.Wilkinson T
City,State ZIP Code County
Primary property owner contact name E-mail
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 IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse information,Social Security and Driver's License/Other number . e not necessary if no Homestead Deduction is
be' g filed.) ,/
7 Signature of Buyer' 5':slaty, :of:uyer2/Spouse
John P Wilkinson 5/31/2018 R- - Wilkinson 5/31/2018
License/ID/Other Number Number License/ID/Other Number