Homestead_Graham INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
James G. McDonald, III Attorney at Law
Preparer of the Sales Disclosure Form Title
120 S. Main McDonald Law Office
Address(Number and Street) Company
Princeton, IN 47670 (812) 385-4816
City.State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTER(S)
Herbert 0. Gray Sara Jayne Gray
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
306 Barnes Street 306 Barnes Street
Address(Number and Street) Address(Number and Street)
Patoka, IN 47666 Patoka, IN 47666
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c m let as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig. lure of Seller Signature of Seller 6
HERBERT 0. GRAY /::-..31- 2014 SARA JAYNE GRAY to - 31-zciy
Printed Name of Seller Sian Date fMM/DD/YYY1) Printed Name of Seller Sian Date(MM/DD/YYYYI
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Leslie Graham
Buyer I-Nome as appears on conveyance document Buyer 2-Name as appears on conveyance document
410 Wood Street
Address(Number and Street) Address(Number and Street) /
Patoka, IN 47666 !�
.
TUE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSIGNAT AP Op
YES NO CONDITION YES NO CONDITION S.O ,\
Pi3.Homestead COU., 'v
❑ 1.Will this property be the buyer's primary ❑ T- .
residence? Provide complete address of primary ❑ JJ 4.Solar Energy Heating/Cooling nr-.
residence,including county: .❑ X 5.Wind Power Device On'Op
Address(Number and Street) ❑ izi 6.Hydroelectric Power Device
❑ VA 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County ❑ 8.1s this property a residential rental ro e
P P rtY?
❑ ig 2.Does the buyer have homestead in Indiana to be ❑ ® 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 ,
below.Please see instructions for more information.
including county: Not available in all counties.) q
Address(Number and Street) / --•a eal�76e5 /Y'JU2 /,t Qa0
Ciy,SmreZIPCade County Primary prep owner contact name Nl G/s/�. v E-mail