Homestead_Igel (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREP•ARER
Roman Ricker Partner
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 rricker@hok-law.com
City,State,and ZIP Code Telephone Number E-mail
E.-SELLER(S)/GRANTOR(S)_
Michael W. Stilwell
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1622 Birchwood Dr
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code
812-677-1099
Telephone Number E-mail Telephone Number 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 complete as r fired by 1 , repay d i ac rdance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSeller Signature of Seller
Michael W.Stilwell 11/25/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller .Sign Late(MM/DD/ri7Y)
F.BUYER(S)/GRANTEE(S)-APPLICATION.FOR PROPERTY TAX DEDUCTION IDENTIFY IDENTIFY ALL IT _ S, H .T-Alw;P.LY _, _ _ _1
Brian David Igel
-BIIyu, 1- e as appears on conveyance document Buyer 2-Name as appears on conveyance document
7693 S 100E DEC 4 2020
Address(Number and Street) Address(Number and Street)
Washington, IN 47501
City,State,and ZIP Code City,State,and ZIP Code Ii ritv__ f
•
GIBSON COUNTY AUDITOR
812-698-8872
Telephone Number E-mail Telephone Number 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 Y N
❑ 1.Will this property be the buyer's primary C y ❑ 3. Homestea
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county:
415 W Spruce Street ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
1 ❑ 2.Does the buyer have a homestead in Indiana to be El ✓ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ g 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.
7693 S 100 E Not available in all counties.)
Address(Number and Street)
Washington, IN 47501 Daviess /,,_O 7 - 3 D Y-Q.Z 65
City State ZIP Code County
Primary property owner contact name 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being •d. ��
X WATT:
Signature o : Signature of Buyer2/Spouse
Brian David Ige 11/25/2020 -
Printed Legal Name of Buyer 1 Sign Date(MM/DD/YYYY) Printed Legal Name of Buyer 2/Spouse Sign Date(MM/DD/YYYV)
7 C C\ x X' 6 70 Lk
Last 5 digits of Buyer 1 Driver's State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security
License/ID/Other Number Number License/1D/Other Number