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HomeMy WebLinkAboutHomestead_Volkman • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 PREPARER, • r?< • b _ , J.Robed Kinkle 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 jrkinkle @hpk-law.com City,State,and ZIP Code Telephone Number E-mail IE1SEIMER(�S/.GR'i1NIONS)$.444 _ ;-. 44-3` _ ; 't .. a ''^". r .r... t "•.�' =_:j Beth A House-Simms Seller)-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 10360 S Pheasant Run 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 with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 2 0 Signature of Seller Signature of Seller Seth A House-Simms 12/28/2017 Printed Name of Seller Sian Date(MM/DD/YYY1'( Printed Name of Seller Sian Date(MM/DD/YY1l HUMERI�S%GRAN)TjEE(S)SAP,P,111eMION FLORMRO,P,ERTtYaTAXWEDUCWTjIONS IDE NMI FAYZOlillTtEMSgTHATLfAPPLYr ?: L'4 :C': -{ Stacie L.Volkman . Buyer l-Name as appearson conveyance document Buyer 2-Name as appears on conveyance document 1512 8th Street 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 I YES NO CONDITION IZ ❑ 1.Will this property be the buyer's primary 17! ❑ 3. Homestead .8e //��'',, -' - residence? Provide complete address of primary ❑ © 4.Solar Ener ' ea ' Cooling sc' 1t residence,including county: °S ❑ IN 5.Wind Power DAS-. 1851 Outer I ake Road Or/ Address(Number and Street) ❑ WI 6. Hydroelectric Power Dd iqe • Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/460,w.Device City,State ZIP Code County (T ID El 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental p�}operty? vacated for this residence? If yes,provide ❑ v] 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) 26- /a - o 9 302 coo 565 G R Stacie L.Volkman 7 City,State ZIP Code County Primary property owner contact name E-mail