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Homestead_Williamson (7)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _D:PRERARER, _ _ Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street. PO Box 13 Partenheimer. Kinkle&Ricker I Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rrickerehok-law.com City,State,and ZIP Code Telephone Number E mall I inch Folsom Williams Folsom Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document 4195 S 700 W 4195 S 700 W Address(Number and Street) Address(Number and Street) Owensville IN 47665 Owensville IN 47665 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c mp,lete as required by law,and is prepared in accordance wi C 6-1.1- 5, 'Real Property Sales Disclosure Act". G IA— c4 v ignature of Seller l Signature of Seller -1 -7 t inca Folsom ./ William Folsom __- /d- ol'I di( Printed Name ofSeller Sian ate(MM DD/YYYY) Printed Name of Seller Sian te(MM D/Ynn F' ; -ER(S)/GRAD : AP:PLICATION;FOR+PROPERT;Y TAX DEDUCTIONS'IDENTIFY ALL ITEWTHAT APPLY__ ___._ -_—_1 Susan M. Williamson T 'I Ti Ti 'Q. Buyer l-Name as nveyance document Buyer 2 Name as appears on cant ncelocumen(11 804 E. Vine Street r, - —e Address(Number and Street) Address(Number and Street) 2 rs 2nio Fort Branch, IN 47648 DEC`JC I `I U City,State and ZIP Code City,State,and ZIP Code Telephone Number E-mail Tele hane_Namber •"'�' , ,. E-mail �T1 K. i .5 Jt`i�•, -,UD -Fo,. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR T PROPERTY. IDENTIFY ALL ' iSs 1-1AT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © A c ea , 1 in / ' S s m residence,including county: 804 E Vine Street ❑ IDS.Wind Power Devi Address(Number and Street) ❑ IA 6. Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ yi 7. Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ (71 2.Does the buyer have a homestead in Indiana to be ❑ El 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, operty via e-mail!I contact information including county: below.Please see instructions for information. rr�� Not available in all counties.) / Address(Number and Street) Z 6-I9+ t� Lk—DUD• . 5 -- O ZO Susan A.Williamson _\ �W �N . City.State ZIP Code County - - Primaryprope E-mail