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Homestead_Graham (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;D PREPARER''— -- r _Brian K.Mahoney Attorney Preparer of the Sales Disclosure Form Title 822 Main Street,P.O. Box 176 Mahoney Law Office Address(Number and Street) Company _Petersburg,IN 47567 812 354 8121 mahoneylaw(a)nwcable.net Ciry,State,and ZIP Code Telephone Number E-mail :E.SECLER(S)/GRANTOR(S)l ; ' _ - c : - -.• - - - - - - Paul D Gordon Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 329 E 790 S Address(Number and Street) Address(Number and Street) Fort Branch IN 47648 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and capit as r quir�and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller �t1 Paul D. Gordon 0. I I i, Printed Name of Seller Sion to H DU/YTT) Printed Nameo Seller r I�r• W t f I •YV SW, VYYY17 F:BUYERJS)/GRANTEE(—APPLICATIONiFOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY -- •• Ches R.Graham Tamara J.Graham FFB 26 2015 Bvyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1307 N White River Ave 1307 N White River Ave Address(Number and Street) Address(Number and Street) Petersburg,IN 47567 Petersburg, IN 47567 GIBBON COUNTY AI IIIITOR THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES _ND CrwiliTms 0 ❑ 1.Will this property be the buyer's primary (J Fl ❑ 3.Homestead residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ 329E 790 S 5.Wind Power Device Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device Fort Branch,IN 47648 Gibson 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County TA ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ TA 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. 1307 N White River Ave f - - :- f • • e r des. Address Petersburg, IN 47567 oz w - /9 -/9- ao y- ool. 307 -0 an Petersburg, IN 47567 Pike City,State ZIP Code Coun • — Pnmaiy property owner con • • -•-•il