Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Byrd
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 10:11:1RETARER'_f sy'.4�4,.-a7;:. Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St.. P.O. Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton. IN 47670 812-386-0050 rricker©hok-law.com City,State,and ZIP Code Telephone Number E-mail EirSEIiL•1R(S)%GRANTOR($)'- -� � ^` Lc � �- �iL�ztt .�-- r�. K� � ter.:. The Fctate of I etha Audrene Cook by Randy D PPil Personal Ren Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 109 F 2nd Street Address(Number and Street) Address(Number and Street) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and o •plete as r . .' -d b aw, .nd i prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 4 -Signature of Sell- W Signature of Seller Randy D Peil Personal Reoresentative 12/77/2016 Printed Name of Seller Sign Date(M.M/DD/YYYYJ Printed Name of Seller Sian Date(MM/DD/m'Y) F-BUYER($)%GRAN,TEE(SW APPLIGATIONIE DWROP,ERTYiTAMDEDUCTIONST IDENTIF_MIIS;ITEMS;THAT?APPGY+ ' 7: Mark E. Byrd Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docume �. 639 W Main St. Address Address(Number and Street) Address(Number and Street) -Y Bruceville. IN 47516 YES NO CONDITION YES NO CONDITION V OA/r, ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead OViv residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling SysYdirpp residence,including county: 102 N Indiana Street ❑ al 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Hazleton. IN 47640 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ $ Is this property a residential rental property? vacated for this residence? If yes,provide ❑ VI 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) (o_oa -d 9_ 00 ow /sy -o/ q Mark E.Byrd City,State ZIP Code County Primary property owner contact name E-mail