Loading...
HomeMy WebLinkAboutHomestead_Kissel (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 bD.PREPARER` y t k ; :F" - e =T v_y r f j g*'°, . - , . 3,.t • .. =e` -i _' 7 Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide P.O. Box 13. 219 N. Hart Street Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(ahpk-law.com City,State,and ZIPCode Telephone Number E-mail NI;SEIMER(ST/GRANTOR(S)1' 17:::L;, �s-Wt , - ` ' * 7i' _-.1777-1 .._._. fc,:t E :1777..4 - 2 - "The I en and Mary Ann Pittner Family Tmct" I I/A Oct 19 7005 "The I PO and Mary Ann Bittner Family Trust" WA Oct 19 2005 Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document PO Rnx 408 PO Box 408 Address(Number and Street) Address(Number and Street) Haubstadt IN 47639 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and mplete as required by law,and is repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 0111 414.,In• L:L pt 4 GO 'l7Gk /� e .%utc&a, ilayla016 Sig iature of Seller V Signature of Seller Katherine M Clodfelter S ccessor Tr st 11 9/ 016 Mark C Bittner Successor Trustee 11/79/2016 Printed Name of Seller Sign Date(MM/DD/YYY11 Printed Name o(Seller Sign Date(MM/DD/nTh) :F?.BUYER(S)/•GRANTEE(S);:APP,GICATIONiROR PROPERTYLTA 6I EDUCT10NST DENTIEYPALE ITEMSTHATrARP,,LYY ":" "°=:T Jacob R. Kissel Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4173 E. 950 S. Address(Number and Street) Address(Number and Street) Haubstadt. IN 47639 FILED THE.SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ���� Q ❑ 1.Will this property be the buyer's primary ( ❑ 3.Homestead iaflaatp f] residence? Provide complete address of primary ❑ © 4.Solar EnLciPfi I�g TrigJ}�s>:elmOR residence,including county: 108 N Vine Street ❑ a 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt.IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El al 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 ❑ 0 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.) Address(Number and Street) / '] ^.�t�1 /"�/� ,{(-'1�,'�,�/'009 Jacob R.Kisse CI —I q-3 I-all l -600 taw 00 City,State ZIP Code County Primary property owner contact name E-mail