Homestead_Rohrscheib INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
iD! IAA11-Vi : _,T7 -- yr y - . 1 =I
J. Robert Kinkle Attorney
Preparer of the Saks 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 irkinkler@hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
'E,SELL'ER(SWGRANTAR(S)Jt = -€--- Tom.— •rr:: 7:n — -. .77— I
Alevan I I C
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
112 Timmerman Drive
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Disclosure,to the best of my knowledge and belief,is true,correct
and complete as re red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Scott Partenheimer Managing Member 0/14/2018
Printed Name of Seller Sian Date(MM/Do/YYYY) Printed Name of Seller Sian Date(MM/DD/n' ij
id;BUY Ems/¢. APPLIGATIONMFORIP,ROP,ERTIY4TAX5DERUGT,IONS IDENTIFYALLLr'ITEMSTHAT:APRLY1 - ' Ti 1
Luke E. Rohrscheib __
Burr document Buyer 2-Name as appears on conveYance g rtmt I i. {p��I
1529 Deshield Drive _IL_(h_t % i 4 9
Address(Number and Street) Address(Number and Street)
Evansville, IN 47712 RPP I R 9n14
Telephone Number ,(liar, E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS TY. IDENTIFY ALL OF TB- TAPPLYJNTY AUDITOR
YES NO CONDITION YES NO CONDITION
I71 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of prim , eating/Cooling System
residence,including county:
2122E SR 64 El ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El 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) 26 - 12-) 6 -poi -o 00 . 821- 023- .
Luke E.Rohrscheib
City,State ZIP Code County - -
Primary property owner contact name E-mail
Number License/ID/Other Number