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Homestead_Richardson (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.l?REPARER: . • - - - - - - .. Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N Hart Street Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 Number E-mail 1 E SELLER(S)%GRANTOR(S)- _ ._ .,... Filen M Sims Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 405 N Second St Address(Number and Street) Address(Number and Street) .c Owensville,IN 47665 E-mail Telephone Number A E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of nVAowledge and belief,is true,correct and completety+as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Proper a D' losure Act". F C-S 2606 Signature of Seller n t ? Signature of Seller .01Q- `( 4U0� R Filen M Sims 2/4/2020 G� cG N� G1BS Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name o fSeller Sign Date(MM/D/YYYYJ F.BUYER(S)/_GRANTEE(S)=APPLICATION'FOR PROPERTY TAX_DEDUCTIaONS _IDENTIFY ALLTTEMS THAT APPLY - _ _ I FRandall P. Richardson "' r Reba K. Richardson' 1 r u`yer 1-Name as appears on conveyance document --Buyer 2-Name as appears on conveyance document 408 N Second St 408 N Second St Address(Number and Street) Address(Number and Street) Owensville, IN 47665 Owensville, IN 47665 City, E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION l ❑ 1.Will this property be the buyer's primary C E _ ❑ 3.Homestead—J residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 405 N Second St ❑ 05.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 2.Does the buyer have a homestead in Indiana to be El ❑✓ 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. 408 N Second St Not available in all counties.) Address(Number and Street) Owensville, IN 47665 Gibson 1-2-10-4-7-441—,L{p,7_ ,15/3' 0 —; City,State ZIP Code County