Homestead_Paul (2) .:NDIANASALES.DISCLOSURE FORM SDF ID: Page 2
yD.'.t?REPARER - - — - - :..- :7-7-- -f-- - -s-7
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
219 N. Had St.,P.O. Box 13 Partenheimer, Kinkle 8 Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 rrickerehpk-law.com
City,State,and ZIP Code Telephone Number E-mail
.SELL'ER(S)'%GRe1\IT10—S)L '-- -- -17--- - . -- -. --T_.J_ _ 7--_ ---- :. ----~ `, .--- 1
Fdward A Thomas Nancy A Thomas
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
648 S Mountain Road 648 S Mountain Road
Address(Number and Street) Address(Number and Street)
Hillsboro IN 47949 Hillsboro IN 47949
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the hest of my knowledge and belief,is true,correct
and complete as required by I w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
xl� a IL � Oindeti a ShanaJ-
Signature of Seller Signature of Seller
Fdward A Thomas 11/6/2018 Nancy A Thomas 11/6/2018
Printed Name of Seller Sian Date(MM/DD/Y/YY) Printed Name(Seller n /OD/YYYY)
FlBUXER(S)/.GRA\TEE(S)Ir.AP,P,LICATION�F,GRIP,ROPERTiYSTAXIDEDUCT�IONS IDENITIF�YAt;liI1TiE $'e� P, �-/-1 S- 'e ....?
Kevin J. Paul
Buyer I-Name as appears on conveyance document Buyer 2-,Name as appears on conveyance docti3o/ 7 201rs
2364 E. 750 S. -. 99 (S
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
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:
2107 W 400 S ❑ 0 S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be
❑ 0 8.Is this property a residential rental property? '
vacated for this residence? If yes,provide ❑ 171 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) zIP— ( I—35 -30o -cc 1 . 933 - 0-17
Kevin J.Paul
. City.State ZIP Code County
Primary property owner contact name E-mail