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HomeMy WebLinkAboutHomestead_ScalesINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2 i 4r� - � ��� c ,`..-'^.r�- ,��° �'��=-�i.-�`� �D:tP4EPARERf ,.� - James G. McDonald, III Attorney a[ Law Preporero(rhe Salc DBdosure Form Title 120 S. Main McDonald Law Office Addrcss (Nvmberand SveeQ Ciry, Sroct a.+d LPCode Tdephone Number E-nvil cEzSELL'ER�� �,',GR9N:T;OR,S�. �t .. s � Donald H. Scales. Sr. PeQAV S. Scales Sellv 1� Name as appean on convryantt Eavmm[ SeNer Z- Name as appearz om m�vryantt dxumrnc 308 W. Mill Street, Box 39 308 Wo.Mill Street, Box 39 Addren (Number ond So-mt) Addrets (Number and So-ee[J Patoka, IN 47666 Patoka, IN 47666 ��� ��n.s��,a�az�rcoa� TelenhoneNumber E-mail Tele honeNvm6er E-mail Under penalties of perjury,l hereby certify that this Sales Disdosure, [o [he best of my Fmowledge and belief, is [rue, correc[ a complete as1 requ�red by law,//and is prepared in accordance with IC 6-1.1-S.pS,�"R�eal nProperty Sales Disclo/su� e�A�ct�"�. '� /f7�' /T �.L�j dh � ,(7 l�l('h�✓ � . l�rh[( 3�,C�Ge',"�� srynoN2olsdr« re�a f ine O DONALD H. SCALES, SR. I I� �%'N PEGGY S. SCALES 11-7-// Pnn[edNameo/Seller SianDa¢MX/OD/YYm Pn'ntdNameol5tlln SianDattlMM/00 . . __ _°_— _ ' _ " . "'.. aF.�BUYER � �. �,GRANTEE 3?`�AP,P[:ICAT[ON€F.ORsP,ItOP„ERT7rTtU�DEflUCTfONS�IDENTiF.Y3AL"l HTEMS`THAT?AP,P.IsYc�-°- ' ...�. Donald H. Scales. .Tr. Buyer 1- Name at appears om m�vryonce datvment Bvyv I- Name aa appears om m�vryance docummt 612 S. Main Addres (Numbe� and StrretJ Addrur (Number and Suee[) E-mail Tele honeNUmbel E-m.ail THESALESUISdOSUREFORMNAYBEU5EDT0.IPPLYFONCERT,IINDEDUCfIOYSFORTHiSPROPER7Y.l0Eh THATAPPLY. VFS NO CO�UITION FS NO CONDITIOY � ❑ 1. Will [his property be the buyer's primary ❑ 3. Homes[ead residence? Provide complete address of primary 4. Solar Energ� Heabng/Cooling System residenre, induding county: �i I Z S Md f'� ❑ �" S. Wind Power Device A'rcss(NVm6erandSVmrf �+ ❑ �,]]' 6. Hydroelech-ic Power Device � �N L�N �'�" �767U (o�G�d� � [,� i, Geothermal Energy Heating/Cooling Device Ciry.Smtt ZIPCode Counry ❑ � 2. Does the buyer have a homestead in Indiana to be �� $� �s this property a residential rental property? vacated for [his residence? If yes, provide [� ❑ 9. Would you like to receive tax sta[ements for [his complete address of residence being vaca[ed, propeny via e-mail? (Provide contoct informotion including counry: below. P(eose see instructions for more in%rmation. /_�I j N av�ail�a-�b(le/ in gll c{�uqt}Gs.J, _O� . Addres(Nvm6erand50-ee�) Q��p—I �'� /`I' -(JCJCJ� I`i 4 ao�,�..�s��esa� �rr.N€T [iry.5m[eLPCode Counry Pnmary ymperry awnerrnnmc[name E-ma/l Under penalties of perjury, I hereby certify that [his Sales Disdosure, to the best of my knowledge and belief, is true, correci and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (No[e: Spouse informa[ion, Social Security arid Driver's License/Other numbers are no[ necessary if no Homestead Deduction is �9��beingfiled.)�� a � v� � � SignaNleoJBvyer2/Spouse DONALD H. SCALES, JR. �/� % '�� Pnn«dLe INomeo(Buyci Si n �e�.�/r/UD/YYY1') PnntedLegalNameofBuyrl2/Spause SignDace(ww/ou/YYYt7 � LastSdiglao(Buyer]Dnver's S[are Lasr50igitso(Sacial5ecuntyNumber LastSdigifsa/Buyer2/SpouseDnver's Sm[e LastSDigiao/Social5ecunry License/ID/OtFxtNumber Number License/10/OtherNumber