Homestead_Wright Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DPREPARER -_._
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) GRANTORS) '.,:_ _: •;_ _ _ ,.., ._._,_, -
Keith A Fisher Jane A Fisher
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
110 White_Church Road 815 S. Race Street
Address(Number and Street) Address(Number and Street)
Princeton. IN 47670 Princeton IN 47670
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 y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
� 0 �--'�',
0,h,t a. 1.04.6
Signature of Seller Sign ureofSeller
Keith A Fisher 12/16/2019 Jane A. Fisher 12/16/2019
Printed Name o fSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign DatejMM/DDJYYYY)
_F BUY __ _:� S _APPLIGATTQN FOR PROPERTY;TAX DEDUCTIQNS IDENTIFY AL - . ; AT APPLY `-_,____.._-,__._____ �T
imoth H.Wri ht Jr. Katel n A. Garrett
Buyer 1-Name as appe n conveyance document Buyer 2-Name as appears on co anc
0 S. HliLLStreet---- 600 S. Hull Street Address(Number and Street) Address(Number and Street) - DEC 17
2019
Fort Branch, IN 47648 Fort Branch, IN 47648
City,State,and ZIP Code City,State,and ZIP Code n,
SOP1 COUNTY AUDITOR E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS••.•ERTY.IDENTIFY ALL OF TH THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead
residence? Provide complete address of primary ��,r�,,,, - nergy eating/Cooling System
residence,including county:
919 W Mill Street ❑ [15.Wind Power Device
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
❑ ❑✓ 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 ❑ 171 9.Would you li.• .e --- • .. . •ments for this
complete address of residence being vacated, • •• - via e-mail?(Provide contact in . •••tion
including county: below.Please see instructions for more informatl:..
Not available in all counties.
Address(Number and Street) -I 11'1 - 2U(� _000 ,'3 0 G�o`� s
•
mothy H.Wright,Jr.&Katelyn Garrett �_
City,State ZIP Code County
Primary• ,, _ . •• E-mail