Homestead_Sumner INDIANA SALES DISCLOSURE FORM SDF ID: page 2
D.PREPARER •
Roman Ricker Attorney
Preparer of the Sale Disclosure Form Title
219 N.Hart St.,P.O,Box 13 Partenheimer,Kinkle 8 Ricker
Address(Number and Street) •
E-mail
E.SELLERIS)/GRANTOR(S) • - • .
- Rebecth J Seucerman
SellerI-Name as appears on conveyance document Seller 2-Nome asa appear:on ppea conveyance document
'6670 E 350 N . .
:Address(Number and Scree) Address(Number and Street)
• Franrisrx) IN 47649 - .
,
_ -
-Telephone Number Email - 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 ,mplete asj�{equired by law,and is prepared in accordance with IC 6-1.1.5.5,"Real Property Sales Disclosure Act'.
'�tu^ACGfk p 1G�CD�z l)�
SI nature of Seller r �7Q Sjgnatnre of Seller
Rebecca J Saucerman �7/3/e1'i-9
Minted Name of Seller Sign Date(MM/DD/)fl) :Printed Name of Seller Sign Date 1M.M/DD/YYn]
F. S)/G -APPLICATION FOR PROPERTYTAX DEDUCTIONS--IDENT1FYALL-rrgMs THAT APPLY _
Nathaniel R.Sumner Amanda K.Sumner
`Buyer l-Name as once document Buyer 2.Name as appears on convey
• N.650 E. 4070 N.650 E.
Address(Number and Street) Address(Number and Street)
.Francisco, IN 47649 Francisco. IN 47649 - 'r
MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS THOSE T7(gA/ApP
J�.fnl{1Yr/ k{
_i'Es NO CONDITION YES No couomoN f;IAS ()UNITY AUDITOR
2 0 1.Will this property be the buyer's primary 2 ❑ 3.Homestead
residence? Provide complete address of pri ry eating/Cooling System
residence,including county: ❑ 2 S.Wind Power Device
6690E 350 N •
Address(Number and Street) 0 Q 6.Hydroelectric Power Device
'Francisco.IN 47649 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
:c y State ZIP Cod, Count'.
❑ 2 2:Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
Vacated fol'this residence? If yes,provide - 0 2 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 Sweet) 9 6 -0 G- r11'Y-300-J o0.er. �-0I-
- Nathaniel R.8 Amanda K.Sumner a_
City.ScamZIPCode. County
_ Primary propertyowner contact name E-mail