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
