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Homestead_Owen
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER James G.McDonald, III Attorney at Law Preporer of the Sales Disclosure Form Title 120 S. Main Street McDonald Law Office Address(Number and Street) Company Princeton, Indiana 47670_ - 812-385-4816 City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Ronald Douglas Hudson Kathleen Jo(Blemker)Hudson Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 1180 W 440 N 1180 W 440 N Address(Number and Street) Address(Number and Street) Patoka Indiana 47666 Patnka Indiana 47666 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as require by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". VetA.xecn �� .yyCS.I 5-11- IG �:•rri.0 �n /u.!I it ..4) 1 Signature of Seller Signature of Seller ��I ill lac Douglas Hudson Kathleen Jo(Blemker)Hudson Printed Name o(Seller Sian Date fMM/DDMIII Printed Name of Seller Sian Date IMM/DOMYf F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT Y. YES NO CONDITION I YES NO CONDITION IN ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead 414r 1 residence? Provide complete address of primary ❑ © 4.Solarrnergy H .ting/I ipg Syste residence,including county: ❑ ® 5.Wind(41,9,;y± l6' Address(Number and Street) ❑ © 6.Hydroelecmc,-' 'e ❑ © 7.Geothermal Energy' °/�g,,/' e, ing Device City,State ZIP Cade to be ❑ 2 B Is this property a residelrndl�rental property? ❑ E 2.Does the buyer have a homestead in Indiana to be p vacated for this residence? If yes,provide ❑ ® 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. Not available in all counties.) Address(Number and Street) Z, 6 -i7 -07 -4D - coo 870 ea ic City,State ZIP Code County Primary property owner contact name E-mail