HomeMy WebLinkAboutHomestead_Short INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Tide
PO Box 13, 219 N. Hart St. Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) .
Luke M Steele Erika D Steele
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6796 W.450 S. 6796 W 450 S
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Owensville IN 47665
_
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my-knowledge and belief,is true,correct
and complete equired by law,and is prepared in accordance wit�ICj6:] 1-S c,"Rcta�roperty Sales Disclosure Act".
a m fICa ` '
Signature of Seller Signature of Seller
I nke M Steele 04/ 9.2 /2016 _Erika f) Steele 04/ Z2 /2016
Printed Name of Seller Sian Date(MM/DD/YYn) Printed Name of Seller n ra - M/BD/YYYYI
F. BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE TII IPJ " i - •
Billy Rav Short Jessica Ann Short
rs on conveyance document Buyer 2-Name as appears on conveyance dacur�er9 27 2016
2611 Caribou Dr. 2611 Caribou Dr. /if f� 7 L
Address(Number and Street) Address(Number and Street) n/
Evansville, IN 47725 Evansville. IN 47725 XJA1Prk 1, q
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
yv
YES NO CONDITION/ CH . /Cli❑ 1.Will this property be the buye r's primary d
residence? Provide complete address of primarng System
residence,including county: ❑ Q
6796 W 450 S 5.Wind Power Device
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County NI
❑ ❑ 2. Does the buyer have a homestead in Indiana to be 111 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
9 including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
Billy Ray Short 04 l/
p -/6 - 36 - voo - op/. 93a.. 0.11
City,State ZIP Code County
Primary property owner contact name E-mail