HomeMy WebLinkAboutHomestead_Johnson (11)INDIANA
James G. McDonald, III
Pre rero(fhe5c1u08closvreForm
�20 S. Main
Add�ess (Numberand Sveet)
Princeton, IN 47670
Ciry, Smcq and ZIPCade
Attornev at:Law
rme
McDonald Law Office
E'-mnil
.Ianice Mason, Attorney in fact for Dar�l an Marjorie Taylev
Seller I� Name ae vppmrz on [onveynm�ce Eaummt Seller S� Name as appmrs om m�vryanre document
( j�% �� D /�T+D�rf �4 J� l :L S !l%Cn /7,¢7sit f �•a
�Addra mberond5vret) Addr�f�''mbermd5tree[)
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Under penal[ies of perjury, 1 hereby certify that tt�is Sales Disclosure, ro[he best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accorda�ce with IC 6-1.1-5.5, "Real Pjop�rty Sales Disdosare Act".
Buyv 1- Name ac appears on ronveyance document
THE SALFS OISCLOSURE FORT1 MAY 6E USED TO APPLY FOR CtRTAIN DEDUCI'IONS
❑ 1. Will [his property be the buyer's primary
residence? Provide complete address of E
residence, induding munty:
Add�gs (Number and So-re[)
Ciry, Srure 21P Coae Caunry
� � 2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vata[ed,
induding county:
Addrus (NUmber md Stree[)
Ciry, Smte ZIPCode Covnry
L i �A-P�6 y yla�
Bvy'r 2- Name as appears nn ronveyance documm[
AdEres [Number and5tree:f
Ciry, Smre, andZlPCade
IDENTIFY ALL OF�HOSE THAT APPLY.
❑ 3. Homestead
4. Solar Energ3vileabng/Cooling Sys[em
❑ S. Wind Power Device
❑ � 6. Hydroelectric Power Device
❑ � 7. Geo[hermal Energy Heatlng/Cooling Device
❑,� 8. Is this property a residential rental property?
❑ � 9. Would you like to receive rax statemencs for this
propercy via e-mail? (Provide contace informacion
belaw. Please see instructions�or more informarion.
Not available in all counties.) .
�G -�a- o ?- �o- oo�. �ae�- Qa�'
�...�,.,,,.,�,,..rv�,.,�.r,�,�„mrr�om. E-mail
Under penalties of perjury, I hereby certify that [his Sales Disdosure, 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 informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) �
Signature o(Bvye�2/Spavse
PnnrNf.edalNameofBvyv2/Spouse SiynDos(.v.v/D'�/m'i7
�
ialSecunryNumber Las[Sdigitso%Buyer2/SpouseDnver"s Smre Las[SDigi[so(Social5ecunty
License/10/Orhe�Number Number License/ID/OtherNumber