Homestead_Ricker (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_... . ... . . . ,
D
, ..,... , — ,_.
Roman Ricker Partner
Preparer of the Sales Disclosure Form Title
219 N. Hart Street, PO Box 13 Partenheimer, Kinkle&Ricker
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR S) . - - • • . . , .. , ,. , ,
Tara L.Foncannon Barbara N. Riggs
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7136 Red Wing Drive 7136 Red Wing Drive
Address(Number and Street) Address(Number and Street)
Evansville. Indiana 47715 Fvansville, Indiana 47715
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 i• - g •6 as requir• : s y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signs 61111 Signature of Seller 7
Tara L. Foncannon 8/28(2020 Barabara N. Riggs 8/28/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BLIYEKS)/6IIANTEE(S)' APPLICATION,Foft.pRoRERty TAX DEDUCTIONS tr.*NTWY-ALL,IT8MTHAT.Apity : —- : ,., .,-,,
Roman Ricker Alyssa F. Ricker
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
203 N.Main Street 203 N. Main Street
Address(Number and Street) Address(Number and Street) '
Owensville, Indiana 47665 Owensville. Indiana 47665 ' H
City,State,and ZIP Code
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
Z 0 1.Will this property be the buyer's primary 171 0 3.Homestead
residence? Provide complete address of primary 0 Z 4.Solar EnerRIeAmmiggMtUTI°R
residence,including county:
0 z 5.Wind Power Device
4984 W.525 S.
Address(Number and Street) 0 z 6.Hydroelectric Power Device
Owensville, Indiana 47665 Gibson 0 IZI 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 111 8.Is this property a residential rental property?
17] 111 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 111 0 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.
203 N.Main Street Not available in all counties.)
Address(Number and Street)
Owensville Indiana 47665 Gibson , ‘1 —0 5----"-tC)O -oo0 9 os-Oz t .
City,State ZIP Code County
Primary property owner contact name E-mail