HomeMy WebLinkAboutHomestead_Martin (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER1 T F -, .1 '> 7_ -- 4_ __ .�T. n__a_.n , yw - --A
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
City,State,and ZIP Code Telephone Number E-mail
E,,SELL'•ER(S)/GRANTOR'(S]' _... _ _ -� ,_ ---�» . - -, ---�---_I _.7:_I_�,._ 271
I isa Wehrheim Trustee of the Chester A Orrel Irrevocable Trust
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
581 Highland Ridge Rd
Address(Number and Street) ' Address(Number and Street)
Mooresville NC 28115
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co ete as r uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
4 �4
S nature o Seller /- Signature of Seller
- I isa Wehrheim Trustee to
Printed Name ofSeller Sign (NM D Printed Name ofSeller Sign Date(MM/DO/YYPYI
Fi,BUYER(S)1/GRANTEE(STITAPPL CAT1ONIE0R PROBERTY TAXWEDUCTIONS :IDENTIE ALL I '� T Y Z;>,_ __1
Martha K. Martin
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
883 N.350 E. JUN 2 1 2017
Address(Number and Sweet) Address(Number and Street)
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
V) ❑ 1.Will this property be the buyer's primary (23 ❑ 3.Homestead
residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑
2208 Taylor Ave 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ El 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 ❑ EA 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)
City,State ZIP County Martha K.Martin 84)- 102-10�—,-)oy-4,002. 056