HomeMy WebLinkAboutHomestead_Stough INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
O.;
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St.. P.O. Box 13 Partenheimer. Kinkle 8 Ricker
Address(Number and Street) Company
Princeton. IN 47670 812-386-0050 rricker(dhpk-law.com
City,Remand ZIP Code Telephone Number E-mail
E^SELIiER(S)%GRAN;T,OR(S)r, _'.. 1 jet . �.z.. ti . 7,:: u.- .•S' ntK .. ..rx: , ,"c_-77-n •—/—.r:t --'�'f
Midway Ventures I I C
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4510 Kellerville Road
Address(Number and Street) Address(Number and Street)
Jasper IN 47546
Telephone Number E-mail Telephone Number E-mail _
Under penalties of perjury, 1 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-S.S,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
•BrettW Dorsam Member 10/3/2018 • •
Printed Name of Seller Sign Date(MM/DD/YYYY) Pi' •, ame o e er Sign Date IMM/DD/YYYY)
:IU,ER(S)%fiRANTEE(S)_±ARP,GICAT!ONIFQRWROP.ERTYTAXif i CTtmONSzlDENTiE,Y,'AL TEMS=THATAP,P,IW`=�A. 1, `;ratiw;gii
•m Stou.h B an Lee Stou.h
w rs on conveyance document •.y e as appears on conveyance doi .nt '
702 Wilson Avenue 702 Wilson Avenue 111.1
Address(Number and Street) Address(Number and Street) n+
Princeton,.
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTH ERTY. ID iI-At4 F THOSF:Tiln COUNTY AUDITOR
YES NO CONDITION YES NO CONDITION CZICJ
❑ 1.Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of primary n rgy Heating/Cooling System
residence,including county:
109 S Kensington Drive ❑ ❑✓ 5.Wind Power Device
Address(Numberand Street) ❑ 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑,/ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ E 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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.
5980 W.600 S. Not available in all counties.)
Address(A'umber and Street) �W' I1 la 8, 00(� 1 I�V
Owensville, IN 47665 Gibson Amy Stough 8 Bryan Lee 1— 00 Q 01 ,_!J U
City,State ZIP Code County
Primary property owner contact name E-mail