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Homestead_Deno INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARES. _ • , - . • James G. McDonald, III Attorney at Law Preparer of the Soles 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) . . ' EStpte of Mark Edward Corn by Personal Ren James L Channel) Seller I-Name os appears on conveyance document Seller 2-Name as appears on conveyance document 720 S Old Patoka Road Address(Numhr and Street) Address(Number and Street) ,2tide penalties of p j ,'hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct nd mplete as r• t . e law,and i prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ign.aure� / Signaure afSeller James L Channell i724120/47 Printed Name of Seller Sian Date(xv/DD/YYYYI Printed Name of Seller Sian Dote(MM/DD/YYYI) F.BUYER(S)/GRANTEE(S)_APPLICATION FOR PROPERTY TAX:DEDUCTIONS-IDENTIFY ALLITEMS THAT APPLY Penny S. Deno a Buyer I-Name as appears an conveyance document Buyer 2-Nome as appears on conveyance doe e 4 - Add N.(Number Street Address(A'umberand Street) Address(Number and Street) -..._ Oakland City, IN 47660 _ Ea THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF T 1M 1ynd I _ 1' NO CONDITION I YES NO CONDITION COUAir y.' ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead AUu/ro residence? Provide complete address of primary ❑ V4.Solar Energy Heating/Cooling System R residence, including county: ❑ 5175.Wind Power Device Address(Number and Street) ❑ op./ i' 6.Hydroelectric Power Device ❑ Tie 7.Geothermal Energy Heating/Cooling Device City State ZI ode County �/ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ L11 8.Is this property a residential rental property? 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) 24- lY-1 S-'%o / coo a23co 7 City,State ZIP Code County Primary property owner contact name E-mail