Loading...
HomeMy WebLinkAboutHomestead_Bennett (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Roman Ricker Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13,219 N. Hart Street Hall,Partimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386- rrickerno hpk-law.com City,State,and ZIP Code Telephone r E-mail E:SEI:LER(S)%GRANTOR'(S) ! ....'- ;:,_-- .:_.-- --z _ , �.--, -' Rick A Pytlinski Alice J ski Seller I-Name as appears on conveyance document Seller as appears on conveyance document 2662 F Radom Rd 2662E m Rd Address(Number and Street) Addres er and Streec) Ashley II 62808 Ashley 808 Under penalties of perjury,t hereby certify that this Sales Disclosure, the best of my knowledge and belief,is true,correct and•complete 'as required by/µlaw,and is prepared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller V dc1 Signature o✓flY/",er Rick A Pytlinkski 09/ a T /2016 Alice J Pytlinski 09/ /7016-...-- Printed Name of Seller Sion Date(MM/DO/YtYF') Panted Name of5eller Sion Date(MM/DD/YYY1] F.$UYER(S)J GRANTEE(S)_,AP,P,L•[CATIONtFORPROBERT;YTAXtDEDU CTIOS `IDENTIhY,-AIiL•ITEMSTHATAPPLY� _ _�. -_ Barbara J. Bennett Buyer l-Name as appears on conveyance document Buyer Name as appears on conveyan/ �n tr t 111 es (Number Circle Drive .r Address(Number and Street) Address(Number and Street) t 1 ''.'.+nan�i�l YES NO CONDITION I YES NO CONDITION V O�UNT1'AUDITOR 0 ❑ 1.Will this property be the buyer's primary 7 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 519 S Race Street 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County I� ❑ 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 ❑ 17 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. 111 S. Broadview Circle Drive / Not available in all counties.) r^� Address(Number and Street) a t0_/a-O7_-5/o 3 I0 / ( ,a 6 0 25 Princeton, IN 47670 Gibson Barbara J. Bennett City,State ZIP Code County Primary property owner contact name E-mail