Homestead_Huck 1 ,
INDIANA SALES DISCLOSURE FORM SDF ID Page 2
J. Robert Kinkle ------ , -- - --- - - Attorney ---- - ---- - --- - -- --- _.
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670
E-mail
-- - ------ ------ -- - ---
xE SEL a S)/GRANTOR(S)s ",-.' ;:.: y 2 3 0.1CMV2Z51WWi
-'7 `. ,_ ti z_,.
Jerry R Bates
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7035 N US Hwy 41
Address(Number and Street) Address(Number and Street)
Ha7letorl IN 47640
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number E-mail Telephone Number 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 1 plete as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/� ./ �-
:natureofS - Signature of Seller
- i : / li 8/2019 _.mai:k
Printed r• e er _ n Date(MM/DD/YYYY) Printed Name of Seller !\ Sign Date(MM/DD/YYYY)
FAl a 7 7-
, -APREIGATl ' '• RTY=TAXD.ED CTI;ONS4 IDENTIFYSALL T 87. -7 IT' v_' Y f4: , 1
Leesa M. Huck 'G
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears o-7onve ce document �O`%
237 W 225 N
Address(Number and Street) Address(Number and Street) 0
Princeton, IN 47670 ‘10F:
City,State,and ZIP Code City,State,and ZIP Code P1)o'
E-mail Telephone Nu . CuPN E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FO TAIN DEDUCTIONS FOR THIS PRO'•'y- .IDENTIFY ALL 0 TI O •THAT
APPLY.
NO CONDITION
Z ❑ 1.Will this property be the buyer's primary W, ' a; H - . / i
residence? Provide complete address of pri : �,r
PJ arene k sf,� b em
1 g eat:/t•o
residence,including county: e
J vi '.. I hnd j'o 2"lfihe r.
Address(Number and Street) El PI :. ••roelectric 'owe,D-1^ 'e
❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be El ❑✓ 8.Is this property a rest•e ntal property?
vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax state :.is for this
complete address of residence being vacated, a ••• via e-mai . -.•'. • :• .ct info ation
including county: below.Please see instructions for more in • ••• 'an.
Not available in all counties.)
Address(Number and Street) r�I I Q
Gibson c La— c-L\0-ati '� .lQD ( -0f7
City,State ZIP Code Coun
Primary property owner contact name E-mail
Number License/ID/Other Number