Homestead_Poston INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER -
_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(tilhpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
Dustin T Priestly Nikki R Priestly
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
506 S Eastview St 506 S Eastview St.
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 complete as required by law,and is prepared in accordance wit 1 -1.1-5.5,"Real Property Sales Disclosure Act".
X !tincture oww 7; 17.�C-zi4- • e . Y'til-t -
ofSeller Signature ofSelle U
Dustin T Priestly 7/21/2017 Nikki R.Priestly _ /2 17•Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Si Dgle M/
F.BUYER S)/GRANTEE(S)=APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS AIPJJd)I tt,
/ John W.Poston Sheila F.Poston
( non conveyance document Buyer 2-Name as appears on conveyance document)Lit_ 2 7 2017
300 E.Sinclair St.,Apt.4 - • 300 E.Sinclair St..Apt.4 /
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 CON' •.
Q ❑ 1.Will this property be the buyer's primary (7) ❑ 3. Homestead
residence? Provide complete address of primary , -- • , -• 'eating/Cooling System
residence,including county: ❑
506 S Eastview St 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
❑ E 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 17 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)
John W.Poston 8 Sheila F.Poston A/o ./41-/ 9- /DA -c00•< %—
City,State ZIP Code County OA 6
Primary property owner contact name E-mail