Homestead_Barrett (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
i Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
215 N Hart St, P.O. Box 13 Partenheimer, Kinkle and Ricker •
Address(Number and Street)
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Mark W. Myers Teresa A. Myers
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3198 E Top Hat Road 3198 E Top Hat Road
Address(Number and Street) Address(Number and Street)
Princeton, Indiana 47670 Princeton, Indiana 47670
City,
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 co,]Irn//J(JPlete $required by law,and is prepared in accordance with IC//6-1..1-5.5,"Real Property Sales Disclosure Act".
41 . - :11.14t, d. tt,
Signature of Seller Signature of Seller
r S it 3i i er!S01., /":,iad II- 31/1 q
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign D� (MM/DD/YYYY)
F.BU TEE(S)—APPLICATION FOR PROPERTY TAX'DEDUCTIONS-IDENTIFY ALL ITE T PPIr y
� "�
Clifford Leon Barrett 5a
- Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2716ESR64 2716ESR64 DEC 31 2019
Address(Number and Street) Address(Number and Street)
Princeton, Indiana 47670 Princeton, Indiana 47670
,,//City,
SES
YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary *I / 3.Homestead
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System
residence,including county:
❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
❑ ❑✓ 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 ❑ ❑✓ 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 Street)
d6 -!o?-/S - Job —oo'. -31 -o a
City,State ZIP Code County
Primary