Homestead_Baker INDIANA SALES DISCLOSURE FORM SOF ID: Page 2
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Jason M. Spindler -. ._Attorney_
Prrrparerof the Sales Disclosure Form Tale
112_N Main Street Spindler Law
Address(Number nail Street) Cnatlrrtrryy
Princeton, IN 47670
Michael R.Baker
Seller I-Name as appears on conveyance dncanlen r Seller 2-Nome os at i pcura on conveyance damn'ent
5841N185W
Address(Number and Street) Address(Number and Street)
Patoka, Indiana 4766.6
that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co lake as re ed b aw,a id is prepared in accordance with IC 6-1,1-5.5,"Real Property Sales Disclosure Act".
i A
1 attire o Sid cr Signature of Sigler
Michael R. Baker d 36—, o 2/
Printed Name of Seger Sign Date IMM/DD/YYYY1 Printed Nome of Seller Sign Dore IMWDA/1'1Y11
:01 3 5 1 1.14 GATIQN.:FO tiP:P:ERT.1'T,�fi7f:FDTJCTI NS'=).00 1l `'�1LL ITi;MS; R;AT.A ':P,;Y,�+t enfi 8r
Shirley E. Baker ��
Bfr)t,1-ASa,.,a.rarpe ar.)at conmynnredacrruteut IJut er v•Name asappcal.%air conveyance document
5841 N 185 W
Address(Number and Street) Address(Number and Street)
Patojca,Indiana 47666
ti invil Telephone Number r-mart
TIIESALIiS DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. May/ tl/ ZUZU
YES NO CONUIT[uN Ylr' NO CONDITION !1_e,• n+i'?rfi.
2 ❑ 1.Will this property be the buyer's primary 'R' ❑ 3. Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary • in m , . e 1 gy Heating/Cooling System
residence,including county:
5841 N 185 W ❑ 2 5.Wind Power Device
Address(Number and Street) ❑ g 6. Hydroelectric Power Device
Patokl, Indiana 47666 Gibson ❑ 2 7.Geothermal Energy Beating/Cooling Device
City,State ZIP Code County
❑ Q' 2.Does the buyer have a homestead in Indiana to be
❑ 28. Is this properly a residential rental property?
vacated for this residence? Ifyes,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: . ease see instruc r more information.
Not available in all counties.)
Address(Narnber end Street)
6-04-11-100-002 .437-018
Ciry,Stare ZIP Codr. Courtly
Ptau a crtyaxncr cam act name F,-orarl
Number License/ID/OtlrerNumber