Homestead_Myers INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D,PREPARER -- - _ LL_: ,J _
Roman Ricker Attorney
Pre parer of the Sales Disclosure Form Title
219 N Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670
E-mail
E.sELLE.R(S)/GRANTQR(S) .. _w .. -- y._ -. __
Shawnee Ridge,I LC Shawnee Ridge, LLC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3031 F Top Hat Road 3031 F Top Hat Road
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosur: • the best of my knowledge and belief,is true,correct
and com e as required by law,and is prepared in accordance C 6Jea p Sales Disclosure Act".
////JJ e,.t%
Signature of Seller Signature ofSeller
Kreig Christy, President 2/21/2020 David E. Oldham. Secretary 2/21/2420
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller _Si.n Date(MM/DD/YYYY)
F • - NTER(S) APPLICATION FOR PROPERTY TAXD'EDUCTIONS_•_IDENTIFY ALL ITEM , T A APIf '._ ' __ __
Teresa A. Myers
- . e as appears on conveyance document Buyer 2-Name as appears on conveyance document
3198 E Top Hat Rd 3198 E Top Hat Rd FEB 2 6 2020
„Address(Number and Street) - - Address(Number and Street)
Princeton, IN 47670 Princeton. IN 47670
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS '.,-Tr Y.IDENTI M 1 HOSE 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 ❑ gy Heating/Cooling System
residence,including county:
3102E Tophat Rd III ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton. IN 47670 Gibson ❑ z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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.Pleas ions ormation.
vailable in all counties.)
Address(Number and Street) A 2--
1 s-^2_0 o � .
City,State ZIP Code County 001. Li�� O'Z
Primarypr erty owner contact name ail