HomeMy WebLinkAboutHomestead_Durbin (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:,PREPARER • ..,,.; _—
Roman Ricker Attorney
Preparer of the Sales Disclosure Farm Title
P.O. Box 13,219 N. Hart Street Partenheimer,Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 rrickerhpk-law.com
City,State,and ZIP Code Telephone Number E-mail
IE..SEEL•ER(S)%GRAN•TOR(S); -^ r ,. Y ;;• ., -_7
Kathy D Rodgers n/k/a Kathy D Asdell
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
14351 N 800 E
Address(Number and Street) Address(Number and Street)
Under p•nalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a s or pl,to as rRquir by law, nd is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
/ lAI� /VIIO
no re of Se If; Signature of Seller
Kathy D Rodgers n/k/a Kathy D Asdell 7/7/2017
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller �y n Date(MM/DD/YYYYI
IFOUYER((SV GRANTEE(S REARREICATION;FOR,PROP.ERTYCTAX DEDU.GTIONS IDENTIF IP1- .MA P.��Y� .' _ TT. ]
Jarrod Durbin "'1 fr'
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1389 21
89 Wheatland Court JUL 11 1 7
Address(Number and Street) 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
0 ❑ 1.Will this property be the buyer's primary IZ ❑ 3. Homestead
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
661 E Fisenhower I ane
Address(Number and Street) ❑ 2 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ 0 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 ❑ 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)
Jarrod Durbin (96-1 -3a -10100 .3 -ali
City.State ZIP Code County
Primary property owner contact name E-mail