Homestead_Horning INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
LIXPLRER--T - ------- -- -------_--.T—_
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 I 812-386-0050 rricker(a)hpk-law.com
City,State,and ZIP Code ' Telephone Number E-mail
ill SEL`LER(S)%GRAN.TOR(S)i-_- ;. � , -
Dennis R Raider Karen S Raider
Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
377E 750 S 377E 750 S
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort Branch IN 47648
City,
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an4j-eemplete as re uiFei-N lay+;a dred-in-accordance with C.6 Property $disclosure ' "
Signature of Seller Signature of Seller
Dennis R Raider • 3/812019 Karen S Raider by Dennis Ray Raider POA 3/8/2019
Printed Nam Sian Date(MM/DO/YYYI) Printed Name of Seller Sign Date(M)4/00/YYYY(
LP? _ R(S)% RAN,TEE(S)`_ PFLICATIONIFOR;$RQPERTYiTAXi:f)f)EDUGTIONSIDENTIEYL'L'dTEMSTTHATF•AP,PGYt -
Dawn Marie Homing -
Buyer an conveyance document Buyer 2-Name as appears on canveya_FILE.
1217 Richland Avenue
Address(Number and Street) Address(Number and Street)
Evansville, IN 47711_._ MAR 11 2019
City,State ndZIPCode City,State,and ZIP Code
--I-
E-mail Telephone Number '�s.�.yl,(�p4, �' ;; E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY IDENTIFY ALL OIGIB9ri(w } .... AUDITOR '
YES NO CONDITION ccONDITI0N
0 ❑ 1.Will this property be the buyers primary 3.Homestearesidence? Provide complete address of primary • rgy eating/Cooling System
residence,including county:
377E 750 S 0 05.Wind Power Device
Address(Number and Street) 0 IZI 6.Hydroelectric Power Device
Fort Branch. IN 47648 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device
CBI.;State ZIP Code County
❑✓ El2.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 ❑ 17 9.Would you like to receive tax statements for this
complete address of residence being vacated, pr a-coal . ntoct information
including county: . Please see instructions for mor ' rmation.
1217 Richland Avenue Not available in all counties.
Address(N'umberand Street) 6 -0 1' 'below
Ir - 02Jr---Evansville, IN 47711 Vanderburgh oming
City,State ZIP Code County
Primary property owner contact name &mail
Number License/1D/Other Number