Homestead_Zerr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - - ._ = . - - - - . ,
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle& Ricker
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S) '.
Michael R.Whitten Nancy E.Whitten
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1406 Mary Lee Drive 1406 Mary Lee Drive
Address(Number and Street) Address(Number and Street)
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 com la ete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.. aAds,,,,,,
Signature of Seller Signature of Sel
Michael R.Whitten 3/6/2020 Nancy E.Whitten 3/6/2020
Printed Name of Seller Sign Date(MM/DD/YYYYJ Printed Name ofSeller , -in.- ,S;ga.Date(MM/D/YYYY)
F.BUYER S)/GRANTEE(S)-APPLICATION'FOR PROPERTY TAX DEDUCTIONS-`IDENTIFY ALL IT I,� At T AP 1a I
Robert L.Zerr Jacqueline E.Zerr
-----Buger3—Nor earson conveyance document Buyer 2-Name as appears on conveyance document
9
129 E Cross Street 129 E. Cross Street 2020
Address(Number and Street) Address(Number and Street)
Patoka, IN 47666 Patoka, IN 47666 ._/
ffgrt
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 CONDLTION
yi ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homesteaa�
residence? Provide complete address of primary U ❑j 4.5olar Energy Heating/Cooling System
residence,including county:
1406 Mary Lee Drive ❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ Y1 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 ❑ E 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.
129 E Cross Street Not available in all counties.)
Address(Number and Street) 7 �� v
Patoka, IN 47666 Gibson .26,-/a - bg • /O 'j - o , V
City,State ZIP Code County
Primary property owner contact name E-mail