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Homestead_Koverman
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARER~ t. Roman Ricker Partner Preparer of the Sales Disclosure Form Title 219 N.Hart Street,PO Box 13 Partenheimer,Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 E-mail -E-•S$LLER S /ORA1.430A- i ;`Linda Kay Carlson K/N/A Linda Kay Romans Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 916 Maxwell Avenue Address(Number and Street) Address(Number and Street) Washington, IN 47501 )( 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 co j•lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". X2 .!�L�P4 � 7.(,�iy.a Si na6re of Seller Signature of Seller 1 inda Kay CarlsnaK/N/A I inda Kay Romans 12/23/2020 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F-BUYER(S)'%GRANTEE(S).ikYikrat r OV FORPRTStratY TA}DEDUCTIONS--7D);NTIFYALL7 itI— S �.__ __: James Koverman t_P w Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1014 S. Prince Street DEC 2 2�2� Address(Number and Street) Address(Number and Street) Princeton, IN 47670 E-mail Telephone Number Ci l b b U N COUNTY AUDITOR 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 NO CONDITION 0 ❑ 1.Will this property be the buyer's primary izi ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: - 1014 S.Prince Street ❑ 05.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ z 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 ❑ 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. Not available in all counties.) Address(Number and Street) 2—(mi))- — I g r-�1 *--0 02— ,G ' - 0 n r ' City,State ZIP Code County C� Primary property owner contact name E-mail Number License/ID/Other Number J