Homestead_BertramINDIANA SALES DISCLOSURE FORM SDF ID: .Pa e 2
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J. ROBERT KINKLE ATTORNEY
��Preporero(Ne Sala Disrlmu�e Form 7itfe
�19 N. HART ST. PO BOX 13 HALL. PARTENHEIMER & KINKLE
' Address(A'umberand5treetJ
E-mail
E:SECCER S GRANTOR S : . ' - ` -,` ''' ' -
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MICHAEL W BERTRAM
Seller 1- Xame as appears on ronveyonre dxumenr Seller 2- Name as appears om m�veyan<e dxumeno
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Addr�s(NumberandSVeet) Addr�s(A'umberond5veer)
FT BRANCH IN 47fx1A
E'-mail TelenhoneNumber E-moil
Under penalties of perjury, l hereby certify that this Sales Disclosure, [o the bes[ of my knowledge and belief, is [rue, correct
and comple[e s rbquired bx law, nd is prepared in accordance with IC 6Q.1-5.5, "Real Property Sales Disclosure Ac[".
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5(qna eof5ellw Signatureo/Selle�
MICHAEL W BERTRAM
P/InledNomeo Seller SianDa(e MN/p0/1l'YYI Pdn[edA'omeo Seller 9onDafe(MH/OD/YYYt7
, F�-BU � TEE S:-.� - ON_FOR�PROPERTY,TAX DEDUCTIONS- IDENTIFY�ALG�ITEMS THATAP.PLY� -- -
JOHN MICHAEL LEE BERTRAM
Buyer 1� Name as appears on ronveyanre dotument Buyer 2- A'ame os appears on canveyance dxument
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Addras (M1'umber and Sveey Address (NUmber andSVeet)
�eh-m�s�a I-�AU35tAD7 Iti y7139
Tele oneA'umber E�mail
TH E SALES DISCLOSURE FORM AIAY BE USED TO dPPLV FOR CERTAI\ DEDURIO,�'S FOR THIS PROPERTY. I DE\TIN ALL OF THOSE TNAT APPLY.
YFS KO CO\DITIOY I 1'ES \a COSDITI09
Q � 1.4Vi11 this property be the buyer's primary Q✓ ❑ 3. Homes[ead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county:
� p�. l � � ��d s � �✓ 5. wind Po�ver Device �
7 (
e� �y5 S„����/ � 4 L 3� '` 0 ❑ Q✓ 6. Hydroelectric Power Device
b f r � Q 7. Geo[hermal Energy Hea[ing/Cooling Device
Ciry, SmteTJPCode Counry \
� �✓ 2. Does the buyer have a homestead in Indiana to be � ❑� 8• �s [his property a residential rental property?
vacated for [his residence? Ifyes, provide ❑ ❑✓ 9� N'ould you like [o receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact injormation
including county: below. Please see instruc[ions(or more in%rmation.
Nof available in all munties.)
Address (Numbu ond SveetJ n �j
Ciry,SlateLPLode Counry z�� —��3�-3Do �ooa'�0�-V� I
Pnmory properryowner ronmc[ name H-mail
Under penalties of perjury, t hereby certify [hat [his Sales Disdosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
being filed.)
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�Siana eo(Buyer] SgnaNreo(Buyer2/Spouse
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Number License/ID/OtherA'umber