Homestead_McDonald (2)LNDIANA SALES DISCLOSURE FORM
SDF ID 26- 2009- 1000792
Oyl,� Page 21
Sa. aixSS n, &g••,
PREPA4tER.'\,.O,H "`.r.Y..`ntE
. sfi,�`"
SHERILGREENE
Preparer o' a Sale. Dudnnrre Form Tide
1722 E OHIO ST
Address 6Vumher mrdSnverl Cnmpagv
PRINCETON, IN 47670 (
E -mail
--SELLER($ PANTOR(S).;..,
KENNETH L JUNKMAN
Seller- :\'amf as appear. an flmi Cl -nrHl diK+n:enl sell,, -,Von,, as ,,v../. [' / /nrN Wnee✓nfnn nr
1319N 16TH ST '- ' -' - -'
Address (M,.ber and Srre,,) Address lA'umber and Srreeri
FORT DODGE, tA 50501
Ciry. Sra:e. and ZIP Code Cim, Sou. and ZIP Code
(
E -mni/ Telephone Number E -moil
'nder penalties of perjury, 1 hereby ce '1'Y that this Sales Disclosure, to the best of my knowledge and belief, is true. correct and
omplete required by law, and is p ep- ed i%accordance with IC 6- 1.1 -5.5, "Real Propery Sales Disclosure Act ".
Si unenfsm.f Sienarure of Seller
- /,y ESA
Z
.,nnd N'ume,fSel/er Sign Done (MM 'DD it T) Primed •Vame ofSelle Sign Done I41WDDiY17Y1
IF l - APPI ICA'I'ION FOR-DEDUCTIONS AND',CREDITS` IDENI',IFY,-iLL:ITE..N]S.TliA'r APPLY
JASON L MCDONALD
Burr, -,VUme a<oppeua on ronvrronce Jorunrenr I do wr - ' -:mr m ay(rms on fonvnxrm'e dufumem
103 N 2ND
Address(.v.00 rand Sueetl Address l,\5�mber and Areeli
FRANCISCO, IN 47649
£ -mni! Teleph., M,u ,ber E -moil
1 -HE SALES DISCLOSURE FORM MAY eE USED 'I'O APPLY FOIL CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY MA, OF THOSE THAI'
F 1. Will this property be the buyers primary residence? Provide complete r 3. Homestead
address of primary residence• including county: r 4. Solar Energy Heating /Cooling Svstem
103 N SECOND ST
�' S. Wind Power Device
Address (Nuro&, and Srreea
FRANCISCO, IN 47649 Gibson r 6. Hydroelectric Power Device
Cim. Smre. andZIP Code C.ow, r 7. Geothermal Enerav Heating/C'ooline Device
F- 2. Does the buyer have a homestead to be vacated for this residence? if (— S. Is this p p a reside xrel- pelpern• ^.
yes, provide complete address of residence vacating, including county•:
r 9. Would - ou ik It er . �; s . e. •s f •hi- •roperty vM
e- mail'? Pr Der n r r , . _ -e i. r
Insirruenons for more inilorvna ion. Noi available in all counties.)
Address (.Number and Suvet)
Cim Stare. and ZIP Cod, C'nunn- Priman pmpern• owner mnrafr"arn" &mail
Under penalties of perjury. 1 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 Licenselloother(�numbers are not necessary if no Homestead Deduction is being filed.)
Sigdarure of Buyer \ \2' U r to
ML4e� d f
::ignanue of B.
c�
�S�Se
Printed A'amr oJBn\rr ,' -. Sien Dote(MMIDDIJ99T)
Pvnd,VamfofBuyer ':: _,. _: -. '; --. Sign Dar,(.t1.lVDD I Y)'I)
O7JFhFK; U,L l'C >IPoL`ENTLOL CONF;L`EHTIA!
s dunn, of oy hers Scam Lao 3 Digin nJSocia/ Sefurirr.Krmber
JZ-1 s melts o/ rev r�Pouse aers Silt, liar 5 Digits of Sofia/ Sreuna A•nnrher
Lu
liruve /1D: Onhrr.va Ober
.\Lmk�r Linen e;ID/O:her SvmW