Homestead_Kroledge INDIANA SALES DISCLOSURE FORM SDP ID: Page 2
D.PREPARER
James G. McDonald, I±f Attorney at Law
Preparer of the Sales Disclosure Form Title
120 S. Main McDonald Law Office
Address(Number and Street) Company
Princeton, IN 47670 (
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E.SELLER(S)/GRANTOR(S�
ESTATE OF WTT.MA F. BOTTOMS ESTATE OF WIIIMA F. BOTTOMS
Seller 1•Name as appears on conveyance document Seller2-Name as appears on conveyance document
David ' A. Ba Deborah J_ .t'7=i l is , _PERSONAL REPRESENTATLVE
Address(Number and Street) Address(Number and Street) "
f1178 F. 900 S F.Il,arfplirir; TN 476 3 513y S. Lincoln Oakland City, IN '17660
6-mall
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
,e and complete as requiredr by law,and i prepared in accordance with IC��p66--t1.1-/5J�,,5,"Real Property Sales Disclosure Act". /'
u. k.N..dA0.ri La..- t'3v.�a.Len, �1 pO-er '` elloy t j�.N�,, �1 ('f7!�'" 1' ''/ $i G
SignatureOfSeller SiV)090 gnatureofSeiler V I_'Ya'9.0 0
David A Bottoms PF.RSONAT. RRPRERFITTATT.VE peborab.J. Willis PRRS(1NAT._$EPRF,$T{N'CATTOF
Printed Name of Seller Sign Date(MM/DD/YYYYZ Printed Name,ySeller Sign Date(MM/DD/YYFY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS'THAT APPLY
._ Michael Q. Kroledge.
Layer 1-Name as appears on'am veyantedocument Buyer 2-Name as appears on conveyance document
--.-4817.-$ 1.Q,5, R. _
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 _
E-mail Telephone Number Feb 03 2020 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APy}j'. ,
YES NO CONDITION YES NO CONDITION
, 0 1.Will this property be the buyer's primary 2/ ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑ S.Wind Power Device
L1 `6 11 500"E k f 0
Address(Number and Street) _ I ❑ [El 6.Hydroelectric Power Device
eN�_tav,a �',` \ )-)tt-7(1)(rt C) C 1'1.(4Zi1 ❑ •-1 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 0 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.
Not available in all counties.)
Address(Number and Street)
26-20- 201-000. 078-001
Cuy,State ZIP Code County
Primary property owner canto ct name E-mail
Number License/ID/Other Number