Homestead_Bradshaw (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:P.REPARER.
Roman Ricker Partner
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer Kinkle& Ricker
Address(Number and Street)
�E SELLER(S)/GRANTOR(S) _ _1-:: '. .:: _ . - ._ ._ . '._ . ._.._ _ .-f -
Roy Roberts Mary Roberts
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5864 W Old Princeton Road 5864 W Old Princeton Road
Address(Number and Street) Address(Number and Street)
Owensville. IN 47665 Owensville. IN 47665
belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5," al Property Sales Disclosure Act".
X X .
Signatur ofSel er Signature of Jl r
Roy Roberts 5/18/2020 Mary Roberts 5/18/2020
Printed Name of Seller Sicg Date(MM/D Printed Name o1,eller Sign Date(MM/DD�YYYYL
F.B _.wAty] 6i _APPLICATION'FOR PROPERTY TAXDE_DUCTIONS- IDENTIFY ALL:IT_EMS_-THAT
APPLY. -
Christo.her L. Bradshaw K leish B. Bradshaw 4 z
B ' .•., tsieuR ars on conveyance document Buyer 2-Name as appears on conve :"L• -.it "
406 N. Hull Street 406 N. Hull Street •
Address(Number and Street) Address(Number and Street) > 20�0
Fort Branch, IN 47648 Fort Branch, IN 47648 `( 9
-vs./ NE-mail
PN E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER �6 HOSE THAT A K,C,Ov
YES NO CONDITION NO CONDITION OS
0 ❑ 1.Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of primary Molar nergy Heating/Cooling System
residence,including county:
5864 W Old Princeton Road ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ Z 6.Hydroelectric Power Device
Owensville, Indiana 47665 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 El I] 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: b . ease see instructions o e information.
406 N. Hull Street Not available in all counties.)
Address(Number and Street) f
Fort Branch, IN 47648 Gibson i '• //-_W- 96D-CCi/ Lpe -642-
City,State ZIP Code County
Primary E-mail