Homestead_Rode Trust INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D..P,REPARER -S Tt7c.1.. . ''{ - i 4.2 _S _ ;: ;4:^. _ i .'4;I�-- 1. �1ci_707,?Fli _. _..'--...,.:1". _ _.._- i ;
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St., PO Box 13 Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton,IN 47670
�" i T Dfi,S£ 't •j.` *.Vr Y i -r3 r'7a-'.t . Q-R K7- .i- 1
E:.SELLER(S)/GRANTOR s i, •
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Adam M Williams Lauren Ann Williams f/k/a I amen Ann Clark
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8 Finch I ane 8 Finch I ane
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
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 co to as r quire y^ •,and is prepared in accordance ith IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature ofSeller Signature of Seller
Adam M Williams 7/22/2019 I auren Ann Williams f/k/a I auren Ann Clark /22/2019
Printed Name ofSeller Sian Date lMAt/DD/YYn1 Printed Name of Seller D rust/DD/YYn1
F. B - R. S)vAPP EQRIPROPERTYTAX:DEDUCTIQNS=_IDENTIFY ALLfTEMS-THA -AP - _ • _ ,j
e"------W& S Rode Trust U/f/A 12/14/2015 ` W& S Rode Trust U/T/A 12/14 -.y([. _
Buyer I-Name as appears on conveyance document \ Buyer 2-Name as appears on conveyance ‘tc me,
1 �O\p
1101E200 N.mbra 1101 AddE. N00 umer `````� .� 7
Address(Number and Street) Address(Number and Street) Jv
67
PCity,
THAT.SPPLY.
YES NOa
❑ ❑ 1.Will this property be the buyer's primary ( ❑ ❑ 3. Homestead
residence? Provide complete address of prima n-_- } o 0o ing System
residence,including county:
8 Finch I ane ❑ 0 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 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 ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ IA 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)
W&S Rode U/T/A 12/14/2015 .L to-I 2.-01,-20b-003.3817 O28
City.State ZIP Code County
Primary property owner contact name E-mail