Homestead_Mulkey •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ASPREP,ARERI -71°°y
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Had St.. P.O. Box 13 Partenheimer. Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 itkinkle(ahpk-law.com
City.State and ZIP Code Telephone Number E-mail
i'E4SELLER(S)f/,GRANIIEDR(SC r --- - s iL tom v-" -,-7 .r . - Ti
.I W Cleveland as Trustee by Robert 0 Mnntgomety POA
Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12377 S 400 W i
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
a d complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller / I Signature of Seller
Robert 0 Montgomery Successor Trustee 5/31/2018
Printed Name of Seller Sign Date(MAIM D/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY(
MU,XIEFtIV GRAN TEE(S)-`m:R L(GATIONAF,QR6 PRQP,ERTiremA`x9DERK-Ti10N5WiENinE1Y(AL T:EMShT,Hr1TfARP,,L•XF _ c`_ i'�=_j
WilliamiK,Mulkey._ _ Kristina D.Mulkey
Buyer I•Name as appears on conveyance document Buyer 2•Name as appears on conveyance document
70688 W. bar and 10ddr W.850 an S.
Address(NUmberand Strcel) Address(Number and Street) yy..
, E- .ail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TUT APPLY. ,Y Q_/
YES NO CONDITION I YES NO CONDITION /4?9 *2 egicp
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead tip+ rte,
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Coollitf
residence,including county:
❑ ig 5.Wind Power Device '94/
3443 W State Road 68 O/�,
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device OR
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
51 ❑ 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 ❑ Z 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.
10688 W. 850 S. 26 ZZ�(Nat available in all counties.) �7
Address(Number and Street) Qq -20o - 002 .734 —01k
Owensville, IN 47665 - - Gibson Wiliam K.Mulkey and Kristina D.Mulkey
City,State ZIP Code County
Primary property owner contact name Small
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 numbers are not necessary if no Homestead Deduction is
being led,) F Y5 D
_ '2 9a !/m�°� �� 8 95a
Signature o(Buyerl Sig,azure of Buyer//Spouse
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