Homestead_Turpin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. P,REPARER s.,L.r. a A - " t-s:- . - 141.r, . + ?. -1, _Lam,^ _ .1 y
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St.. PO Box 13 Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670
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Mary R Julian
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
PO Box 101
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
City,State,and ZIP Code City,State,and ZIP Code
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 by law,and is prepared in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act".
Signature ofSel Signature of Seller
Mary R Julian 06/26/2019
Printed Name a(Seller Sian Date(MM/OD/YYYY) Printed Name or Seller Sian Date(MM/OD/11111
•
F. B EE(S)-APPLICATION FOR'RROPERTY_TAX'DEDUCTIONS=-IDENTIFYALL ITEMS_THAT_APFLS - ,j
• E. murein
Baer
I-Name as appea conveyance document Buyer 2-Name as appears on conve nee document
I W. 550 er F � �I
Address(Number and Street) Address(Number and Stre J 7
Patoka, IN 47666
City State,and ZIP Code `` �� City,State,and ZIP Cade JUN 27 2019
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E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR -ERTITIb NTH IilTALtiO t S r
YES NO CONDITION YES No CONQ6d®SON CO TY AUDITOR
Q ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of prima C,r , ing/Cooling System
residence,including county:
206 N Main Street ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Owensville. IN 47665 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 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 you like to receive tax statements for this
complete address of residence being vacated, p perry via e-mail?(Provi a Co ormation
including county: below.Please see instructions for more info r ion.
531 W. 550 N. Not available in all counties)
Address(Number and Street) D,1 0— 17—01 —4 Os.�—op(J 0
Patoka, IN 47666 Gibson
2_ 2_
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number