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HomeMy WebLinkAboutHomestead_Monroe INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D PREPARER — — 7T. __ Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 219 N. Hart St.,P.O. Box 13 Partenheimer,Kinkle&Ricker Address(Number and Street) Company Princeton. IN 47670 812-386-0050 rricker(@hpk-law.com City,State,and ZIP Code Telephone Number E-mail EtSELLER(S)/GRANTOR(S)_ _ — •__ Kellen C Higginson Rochelle I Higginson Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 12245 S Brook Drive 12245 S Brook Drive Address(Number and Street) Address(Number and Street) Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct if and co plet, rejiuired by law,and is prepared in accordance w' • IC 6-1. -5.5,"I •al 'roperty Sales Disclosure Act". , Iol Signature of Sign-Cure ofseller gp Kellen C Higginson 9/21/2017 Rachelle L Higginson •n J t,I17 Printed Name of Seller Sian Date(MM/D MIT) Printed Name ofSeller -S r.+. /DD/ITYf1 .F:.BUYER(S)/GRANTEE(S) -,AP.PL'ICATIONI•FORRPROPERTIWTAXWEDUCTIONSLIDENTIFYALLiTEMSITHTAP P,,L_Y'- -7 .. ____ Matthew Monroe Eon Monroe SEP 2 ! [U1/ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4 W.Red Bank Road 4 W.Red Bank Road '_!_ ` Address(Number and Street) Address(Number and Street) -"Sr. Itir F79r GIBSON COLA-1Y AUDITOR Fort Branch,IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 17j ❑ 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: ❑ IN 12245 S Brook Drive 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZlPCode County 2 ❑ 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 ❑ WI 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. 4 W.Red Bank Road Not available in all counties.) Address(Number and Street) ^_///-- Fort Branch, IN 47648 Gibson Matthew&Erin Monroe,4,-c23-'b- /00-00.017702; City,State ZIP Code County Primary property owner contact name E-mail