HomeMy WebLinkAboutHomestead_MyersINRIANA SALES DISCLOSURE FORM SDF ID:
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Preparer o /the Sales Disclosure Form Title
James G. McDonald, III Attorney at Law
Address (Number and Street) Company
120 S. Main McDonald Law Office
City, Stale, and ZIP Cade Telephone Number E -mail
Princeton IN 47670
Sel /erl-Nomevsoppmrs on cony nrr of ment
seller 2- Name as appears on ccnveycnce document
412 C_ lFRIs&41J
Address (Number and 5 , r
0,A)(1
Address (Number and Street)
City, State, and ZIP Code
E -mail
I Telephone Number E -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 ".
Si . score ./Seller ^ T � Signatures /Seller
(N �"f/ !
_1
PrintMNamealSellrr Sian Data (MMIDDIYYM Printed Name o(Seller Sian (MMIDDIYYM
— - _ __ N _ __ r Lf - - -
=F.:,BUYER 8',GRANTEE Sl�AP,PL'IC:A� ON;F, GRIP, ROAER7iY�TAXl OEOUCTfONS-", 11DENTIF1tAlli ,ITE{vISTHATiAPP,CYc�i.�'tf`. _�MR
Buyer] Nameasappearsooconveyanredocvment
Buyer 2- Name as appears on conveyance document
Address (Number and Street)
Address (Number and Street)
City. State, and ZIP Code
City, Scott and ZIP Code
elenhoue Number Email
Te/e hone Number E -mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN D FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
71ONS
YES NO CONDITION I YES NO CONDITION
❑ 1. Will this property be the buyer's primary
3. Homestead
residence? Provide complete address of prfl ry
❑ ❑,r 4. Solar Energy Heating /Cooling System
residence, including county:
❑ Q' S. Wind nd Power Device
❑ CD-� 6. Hydroelectric Power Device
Add. (Number and Street)
❑ � 7. Geothermal Energy Heating /Cooling Device
❑ 8. Is this property a residential rental property?
❑Ciry, State Z P Cade County
2. Does the buyer have homestead in Indiana to be
a
❑ d 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide
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)
a,10 -I4 -i s --,�oy -oo . o-79 - cc-r
City. State ZIP Code unry
Primary property owner can tact name E -mail
Under penalties of perjury, I hereby certify that t - Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepar in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Security and Driv s License /Other numbers are not necessary if no Homestead Deduction is
be[ Filed.)
_A t LP
Sim tore , By er1 Signaturea /Buyer2 /Spouse
`1 �1 e c r
Printed Legal Namea /Buyerl Si Dot (MM/DD/Yrnj Pnn:ed legal Name o /Buyer 2 /Spouse Sign Dow(MM/DD/YYYI)
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Number Lasts digits of Buyer 2 1Spouse Driver's Slate Lost SDigiu aJSocial5ecuriry
License /1D 10ther Number Number Liceme /ID 10ther Number