Homestead_Sponenburg I
INDIANA SALES DISCLOSURE FORM SDF ID:_ Page 2
FD
_
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) CompanyI
Princeton. IN 47670 I
mail
_- - — '- __ -_- .'- - � -"--Y -,-.1'
_ —••—r.-rT
TE::SE L•bER(5)'/.GRANTOR'(S);,_. - __;;f _ L — --- . — — �- -- ..
Jo Anne Collins
Seller I-Name as appears on conveyance document Seller-Name as appears an conveyance document
2020 S Main Street
Address(Number and Street) I Address(Number and Street)
Princeton IN 47670
City,
Telephone Number E-mail Telephone Number 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 bylaw,and is prepared in accordance with IC 6-L1-S.S,"Real Property Sales Disclosure Act".
£ �svi'LC (j� -Cn� /i:sY
((Aperture of Seller Signature of Seller
Jo Anne Collins 4/5/2019
Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sip Date(M.M/DD/ri111
'riE.77 .. E - —. I : 16 DPP,L'ICATIONIEOMP,ROP,ERTMAXiDE allaiON5' IDENTIFNIE'IITE' S.THATi'APJ II ,
John Paul Soonenbura
� : - -A'ameas appears on co
edxument Buyer 2 Name as appears on comeyan t
902 E.Ohio Street Address(Number and Street) Address(Number and Street) APR 8 2019
Princeton, IN 47670 -
Telephone Number )O L V E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P . DENT! t0 OSEBTHAIIIAVP UNTY HDUI fOR
TNTI
YES NO CONDITION YES NO CONDITION T
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of prim ry sting/Cooling System
residence,including county:
D 0 5.Wild Power Device
2020 S Main Street
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
❑J ❑ 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 ❑ 0 9.Would • - - • -•ceive .• . •••- is for this
complete address of residence being vacated, • operty via e-mail?(Provide contact infor : 'on
including county: below. Please see instructions for more informatio
902 E. Ohio Street r� Not available'N in` all counties.) Cry ^� a-
}�
Address(A'umber and Street) 2-6- I ` — kV 1 V - 0 o 1 . D G'7 -O
Princeton. IN 47670 Gibson .... •. -t,,,,;,:•— ,
City,State ZIP Code County —
Primary property 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
Number License/ID/Other Number