HomeMy WebLinkAboutHomestead_Pearson Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D;PREPARERr.-- :.P•i,. —q •• ,:R•• -. a� _ • , r-- .. „ •'- -1•
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(o hpk-law.com
City.State,and ZIP Code Telephone Number E-mail
E,SE(LER( 1/,GRANT.QR('S1I .. _3? ;a t'•s. _ . ._r :. _:_ :II
Kenneth G Smith Sherri L Smith
Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document
1121 S Race Street 1121 S Rare Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of •er'ury,-ereby certify that this Sales Disclosure,to the best of my knowledge an elief,i e,correct
an i•plete • eq 're' • law, nd is prepared in accordance with IC 6- e Prop S tsclosure Act".
Signo are of Seller W Signature of Seller
Kenneth G Smith 11/07/2017 Sherri L Smith 11(07/2017
Printed Nome of Seller Sign Date(M.M/DD/YYYI•) Printed Name of Seller Sian Date(MH/DD/YYYY)
1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATAPPLY,
t.
YES NO CONDITION I YES NO CONDITION 4/1-
[ ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead i y7TOR
residence? Provide complete address of primary ❑ M 4.Solar Energy Heating/Cooling System
residence,including county: ❑
1121 S Race Street 5.Wind Power Device
Address(Number and Street) ❑ M 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ M 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 ❑ (7 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.
.-7 l Not available in all counties.)
Address(Number and Street) 2 CO- i R -/? - rtJ 3 co 3 . y,3/ o a8
Danny W.Pearson Jr. ->>
City,State ZIP Code County
Primary property owner contact name E-mail