HomeMy WebLinkAboutHomestead_Thomas (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
TI:PREP.A'RERt— .: " ` ----_ _ --- - —• - ----1
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 rricker(a hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
IE1:SEEL'ER(SPS- ANTQR(SJ'.-_---------7 - —' -. - — ,-- , - -r- -- — - • 1 1
Karen K Anderson
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2591 N Benchmark Drive
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
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 6-1.1-5.5,"Real Property Sales Disclosure Act".
4eCIM al Mw
Signature of Seller Signature of Seller
Karen K Anderson 1/22/2019 _
Printed Name of Seller ' Sion Date(MM/DD/YYYY) Printed Name of Seller -Plat Aa/DD/YYn)
YES NO CONDITION ES NO CONDITION
0 0 1.Will this property be the buyer's primary g ❑ 3. Homestead
residence? Provide complete address of primary 1� 1 bald ergy Heating/Cooling System
residence,including county:
2591 N Benchmark Drive ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 7 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 ❑ ❑✓ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 11 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro 'de contact information
including county: eloty. Please see instructions for ormation.
9904 Winvard Place t� �Noot available in all counties.)
Address(Number and Street) v"V� J0 —VD1 _003 - g0 e'1 —02,}
Owensville, IN 47665 Gibson Steven Ross 8 Edna Marie Thomas L
City,State ZIP Code County
Primary propels),owner contact name E-mail
•
Under penalties of perjury, I 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 6-1.1-5.S,"Real Property Sales Disclosure Act". (Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is