HomeMy WebLinkAboutHomestead_Przymus (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St., PO Box 13 Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
T.ESELLER(S)/GRANTOR(SJC•;7.-TZLMLIc..;"-:1-.72
Toni Burns
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
902 F Kentucky Street
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,thereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
'4\1.4/1.41,st,
Signature of Seller Signature of Seller
Toni Burns 05/ /el /2016
Printed Name of Seller Sian Date(M.14/00/TYYY) Printed Name of Seller te tAtti/00/VM1
.2F.BUYEIA(SI/GfiANTEE(qA-APPLICATION)FOR.P,ROHERTY:kTAX-TDEDIKTION-S=1DENTIFY_ALUOMPlAW,A ,
Paul Przymus Frances L. Przymus
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance ton 3 2016
1517 S. Main Street 1517 S. Main Street
Address(Number and Street) Address(Number and Street)
GIF380eLcecti-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY, IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
D 1.Will this property be the buyer's primary LI 3.Homestead
residence? Provide complete address of primary o 4.Solar Energy Heating/Cooling System
residence,including county:
1%1 S.Wind Power Device
902 E Kentucky Street
Address(Number and Street) gi 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson D 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
12 8. Is this property a residential rental property?
(ZI D 2.Does the buyer have a homestead in Indiana to be ta
vacated for this residence? If yes,provide g 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.)
1517 S. Main Street
Address(Number and Street) c)?Cr )0- 11-1P1 -003. 351-bag
Princeton, IN 47670 Gibson Paul rzymus and Frances L.Przymus
City,State ZIP Code County
Primary property owner contact name E-mail