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Homestead_Mossberger (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 - tDxRRERARERfc_ .,°,■i r.L . :+, s Cr-tgr .. .ksr∎ . t a',.:,--4--'.'.ay c(74.,-,41A-`,4% - tiFrF- re:;-,4.-w-;3-`T-_ . . .4 , 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 rrickerehpk-law.com City,State,and ZIP Code Telephone Number E-mail (ESSELLER(Sy/,GFo NtfoR(S).: . '1, F.s 'f..7-- r ' :-. ?; . . . .rs -lx;Y ;i.:a • . - The Estate of Bill V Barrett The Estate of Bill V Barrett Seller I-Name as appears on conveyance document Seller 2-Name as a rs on conveyance eyance document 825 West Drive 2355 Peavine-Firetower Road 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 an omplete as regpi-repi by Ia% ,and is prepared in accordance with C 6.1.1-S.S,"Real Property Saes D'sclt osure Act". Signature of Seller l\ 7,Z)ZG(k'SSignature of Seller Tamara K Miley Co-Personal Representative / Debra R.Graham Co-Personal Representative ,.�7Z-/ (Q Printed Name of Seller Sign Date(MM/DO/WYY) Printed Name of Seller Sign Da DOD(Ba(rrpbb{1/MY) LOBU,YIERMGRANy TjEE(S)&ARP,LIC111TIONAFORIP,ROP,ERTtY(ETA•XtDEDUCTIQNSMIDENT!Wfi'LL4ITEMS/Til-Nl ARRBYr3C-7''-' 41: ,; Kevin W.Mossberoer Dawn S. Mo sber er Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance Le 204 S. Race Street 4778 W.950 S. i Address(Number �rf� 1 •UNTYAUDITOR YES NO CONDITION YES NO CONDITION El ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead • residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 6558 W 450 S S.Wind Power Device • Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode 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 ❑ 2 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) Kevin W.Mossberger 0t l D -3b- VO0-QCD•054-03?■ City,State ZIP Code County Primary property owner contact name E-mail