HomeMy WebLinkAboutHomestead_Edwards (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
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
E-mail
E.SELLER(S)/GRANTOR[
Janey L Burch
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
423 W Mulberry Street
Address(Number and Street) Address(Number and Street)
Princeton_IN 47670
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 6-1.1-5.5,"Real Property Sales Disclosure Act".
d.4
Sign A ure ofSeller Signature of Seller
,Laney I Burch 9/17/2019
Printed r e Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY)
F. ER(S)/GRANTEE(S) ..APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Shawn Michael Edwards Amber Nichole Edwards
Buyer 1-Name as appears o nce document Buyer 2-Name as appears on conveyance document
4501 Cookman Way 4501 Cookman Way
Address(Number and Street) Address(Number and Street)
Evansville,ta and
N 477Cade EvanState, I 47de FILED
City,State,and ZIP Code City,State,and ZIP Code
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTH OPERTY.IDENTIFY ALL OF THOSE T *P�.> 2019
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead •
residence? Provide complete address of primary ttlinnPOIR
residence,including county:
375 F Old Petersburg Road ❑ 5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be
❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 9.Would ou like to receive tax statements for this
complete address of residence being vacatCIroIownrnm:,
property via a-mat . contact information
including county: below.Please see instructions for n ormation.
4501 Cookman Way Not available in all counties.)
Address(Number and Street) o1 —Zoo _Q 00 ,2 —Evansville, IN 47725 VandMil&Amber Nichole EdwardsCity,State ZIP Code