Homestead_Hoskins INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Il l$REPARER E -' _ ,rY ' ^-ma c- ., - `y -- . _ 'zr --,� - --Y r --- :rl
Roman Ricker Attorney
Preporerof 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 rrickerehpk-law.com
City,State,and ZIP Code Telephone Number E-mail
IEnSECLER(SAGRAIVTIOfics)Y- "" - --..1 T is :—r`"-"_- rst-T -ter"
Gerald L Bledsoe Trudy A Bledsoe
Seller I'Name as appears on conveyance document Seller 1'Name as appears on conveyance document
402 E Sinclair Street ' 402 F Sinclair Street
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch IN 47648
Ciry,Sta and Zl�
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 Proper TsciEri
Signature a/Seller Signature of Sell
Gerald L Bledsoe l 7/23/2018 Trudy A Bledsoe JUL 2 4 2OP323/2018
Printed Name of Seller Sion Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/OD/Y'C5\
(Fit •, , iSj%GRA.1! NksallIE ATr IONFF,QR4ERQP,ERTrY(TN{bDEDUGTIONS-DIDENilli5YHArLL11TEMSh�TH AP,P,LY teL�/J,
Willi"m li .n a'ski Stephanie M. Hoskins
. . .. ....,.,“ • ,me document Buyer 2-Name as appears on conveyancCABAQN COUkf/ AUDI1Q
304 N. Center Street 304 N. Center Street
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649 Francisco. IN 47649
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR.• . . - . L OF THOSE THAT APPLY.
YES NO CONDITION /I YES NO CONDITION
❑ ❑ 1.Will this property be the buyer's primary ._p ❑ 3. Homestead
residence? Provide complete address of primary IN WI ",;- -rgy Heating/Cooling System
residence,including county:
402E Sinclair Street ❑ NI 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Fort Branch, IN 47648 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 property a residential rental property?
vacated for this residence? If yes,provide ❑ 2 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.
304 N.Center Street L Not available in all counties.)
Address(Number and Street) 26 -Act- 18 -301- t900. RIO -o2 6
Fort Branch, IN 47648 Gibson William Clinton Hoskins&Stephanie Hoski •
City,State ZIP Code County
Primary property owner contact name E-mail
License/ID/Other Number Number License/ID/Other Number 11! t; ?£'