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HomeMy WebLinkAboutHomestead_Collins INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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(athok-law.com Cie.,State and ZIP Code Telephone Number E-mail fE:,SELCER S '.GRANITOR S 1. 7-7. .. T - --- Tim Montgomery Kim Montgomery Seller 1-Name as appmrs on con veyance document Seller 2-Name as appears on conveyance document 4364 S 600 W 4364 S 600 W Address(Number and Street) Address(Number and Street) Owensville IN 47665 Owensville IN 47665 Under penalties of perjury, hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cot,; law,and is prepared in accordance with IC 6-1.1.5./y5/,(///"q al Property Sales Disclosure Act". dIPPSNI Signature of Seller ,�a S a e sellery / C4 'II tltt ■.tt-. Z3 Kim Montgomery /� tt' a.3-/ 7 Printed Name of Seller W Sign D•te(MB/n,/ T) Printed Name of Seller Sign Dote(HM/Da(vrv) F.:BU,YER(S)%GRAgirta(S)) AP LP 1 CATIONXORZP.ROP,ER∎arAX(3DEDU.GTIONS IDENTIFYALLITEMS,THATAP irr . y�y—�tt _ Joseph M.Collins Mary M. Collins Yrp�' Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance domm t� ■ 2995 S.675 W. 2995 S.675 W. Y Address(Number and Street) _ Address(Number and Street) JUN 2 3 201/ Owensville, IN 47665-5129 Owensville. IN 47665-5129 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THO APPLY YES NO CONDITION YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence, including county: 4364 S.600 W. ❑ IN S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.1s 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. 2995 S.675 W. Not available in all counties.) Address(Number and Street) C;10 — If -31 - yoo- ©04.5 1/I 4-0d Owensville, IN 47665 Gibson Joseph M.Collins 8 Mary M.Collins City,State ZIP Code County Primary property owner contact name E-mail