Homestead_Fulk •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Tide
219 N. Hart Street, P.O.Box 13 Partenheimer, Kinkle 8 Ricker
Address(Number and Street) Company
Princeton,IN 47670 812-386-0050 rricker(o)hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
-. _
�aSEL`L'ER(S)'/,GRANTQR(S)�:T- --- --- .,,-•
The Estate of Joe W Bym
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7815 Mertens Road
Address(Number and Street) Address(Number and Street)
Under penalties oft erjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete a/r• i ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
A , _ _
Signature of Seller Signature of Seller
Kent t Bym !Incur) Per- eo 11/21/2018 —
PrintdNome olSeller Sian Date(MH/DD/YI•YYJ Printed Name of Seller Sion DateWM/DP/YYO
U1YER(S)y6RA'NTE ) 15 PPLIGATION!F,QRGEROPERTIYLTAXtDEDU-CTIONSIDENTIFYiALLy1TEMSiTHi1T{APPhYi T
Gregory R. Fulk
_ u • ante document Buyer 2-Name as appears on cFanidiment
311 W.Columbia Street
Address(Number and Street) Address(Number and Street)
Oakland City. IN 47660 NOV 27 2018
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR S PROPERTY. IDENTIFY AIG98 — „APPLY! AUDITOR
YES NO CONDITION I YES NO CONDITION
Q 0 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of prima rig/Cooling System
residence,including county:
522 W Washington Street 0 0S.Wind Power Device
Address(Number and Street) ❑ M 6.Hydroelectric Power Device
Oakland City- IN 47660 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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 mare information.
Not available in all counties.)
Address(Number and Street) 24 _ Iy-kg -3o( -000. 14g - 007
Gregory R.Fulk
City,State ZIP Code County
Primary property owner contact name E-mail