Homestead_Straw (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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
Tammy M.Slinker f/k/a Tammy M. Parten
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
502 N.Second Street
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a c•mplete as required by w,g is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
diat lu •
Signature of S Signature of Seller
111222.02.0__
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
:F;j10YEaMI,,GaRTE:E(S1 ARE:110:110 O'R:_PRO:P EIMAUOMMTION'S MENTIF3 ALL ITMs ATAPPLY: :
Tyler Straw
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
5384 S.950 W.
fry -
Address(Number and Street) Address(Number and Street) 4. .1 ir
Owensville, IN 47665
City,State,and ZIP Code City,State,and ZIP Code
E-mail Telephone Number - ail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TH01.1re,, 204
YES NO CONDITION YES NO CONDITION
fl 1.Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of primary 121 4.Solar Energy Heating/Cooling*gm
residence,including county:
0 5.Wind Power Device
502 N.Second Street
Address(Number and Street) El IZ1 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
z 8.Is this property a residential rental property?
z 2.Does the buyer have a homestead in Indiana to be
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.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code • County
Primary property owner contact name E-mail
Number License/ID/Other Number
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