HomeMy WebLinkAboutHomestead_Wilson (7) INDIANA SALES DISCLOSURE FORM SOP ID: Page 2
D:PREPARER , . -
•
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle& Ricker
Address(Number and Sweet) Company
Princeton, IN 47670 812-386-0050 jrkinkle(ahpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E SELLER(S)/GRANTOR(S)
Ralph E. Koch,Tr. of Ralph E. Koch Rev. Liv. Trust u/a 10-3-2000 Ralph E. Koch
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
PO Box 503 PO Box 503
Address(Number and Street) Address(Number and Street)
Poseyville, IN 47633 Poseyville, IN 47633
Under penalties of perjury,I hereby 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".
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Signature.Seller Signature (Seller ggg��� '''...rrr
Ralph E. Koch, Trustee 01/B/2017 Ralph E. Koch 7 0 gym;- /2017
Printed Name ofSeller Sign Dale{MM/DD/YYYYI Printed Name of5eller Sivr Dl %/OD/YYY1')
-F:BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTYTAX-DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY .
attnew Wilson Gwen Wilson JAN 1 S 7017
u pears on conveyance document Buyer 2-Name as appears on conveyance document
10149 S. Koch Drive 10149 S. Koch Drive
Address(Number and Street) Address(Number and Street)
Po Sc7Uillc I/? H7633 Owensville, IN 47665 GIBSON COUNTY AUDITOR
A't
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO 1.Will [(nil]
p ❑ P.Will this property be the buyer's primary
residence? Provide complete address of primary J 4.Solar Energy Heating/Cooling System
residence,including county:
❑ 113 5.Wind Power Device
Address(Number and Sweet) ❑ 19 6. Hydroelectric Power Device
City,State ZIP Code County ❑ E2 7.Geothermal Energy Heating/Cooling Device
❑ 13 2.Does the buyer have a homestead in Indiana to be ❑ B. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑ 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: a •••. • '• '- • • Ctions for more information.
f
Not available in all counties.
Address(Number and Sweet)
Gibs•,n ,Zjo —/7.3A -300 - 00$. 5o3' -OA/
City,State ZIP Code ,unty
oroaerty owner conma name E- ail