Homestead_LaMar (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
James G. McDonald, III Attorney at Law
Prepares of the Soles Disclosure Form Title
120 S. Main McDonald Law Office
Address(Number and Street) Company
Princeton, IN 47670 (812) 385-4816
City,State,and LP Code
Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Charles E. Shoultz Hiving Truct Emma Tn,, Shnu-lta Living Truat
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5826 E 115 S 5826 F 115 S
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649 Francisco, IN 47649
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an. ompl-to as req -:d by la ,and is prepared in accordance wit r, C 6-1.1-5.5,"Re. P op-rty Sales I''-closure Act".
eSignature of Seller Signature of Seller '
CHARLES E. SHOULTZ, TRUSTEE CHARLES F. SHOlu T7 TRIISTFF FfR nNNA LOU IHOULTZ
Minted Name of Seller Sign Date(MM/OD/rrn) Printed Name of Seller Sign Date(MM/TRUST
F.BUYER(S)/GRANTIEtS)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
^artier Edward LaMar Julie Ann La Mar
B en 1•Name as appears on '• •••• -t Buyer 2-Name as appears on conveyance document
5842 E State Road •64 5842 E States Rnad Eat
Address(Number and Street) Address(Number and Street)
AS
Francisco, IN 47649 — L/
IDENTIFY THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. ALL OF THOSE THAT APPLY.
YES NO cONDmON
YES...---.M6— .
❑ 1.Will this property be the buyer's primary ( ❑ 3.Homestead `alle/t -
residence? Provide complete address of primary ❑ IN 4.Solar Energy Hi M ft R-8SlIt11nAUDITOR
residence,including county: ❑ S 5.Wind Power Device
Address(Number and Street) ❑ ,] 6.Hydroelectric Power Device
❑ 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ ❑ I3 8.Is this property a residential rental property?
Z.Does the buyer have a homestead in Indiana to be rq 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide ❑ jv ylr
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: _ _below..Pleaseseeinstructionsformoreinforma tion.
- Not available in all counties.)
Address(Number and Street) 1.2.‘„ _ /3 _/SS - 300 -oo/. 61 8-60Y\
OD,.State ZIP Code County •
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