Homestead_Barrett (10) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
LD>:�EPARERc _;. ,C .2_ P.,,,,;:. r,. _ - - - ; , _ )7.
Brian K. Mahoney Attorney
Freparer of the Sales Disclosure Form Tide
822 Main Street, P.O. Box 176 Mahoney Law Office
Address(Number and Street) Company
Petersburg, IN 47567 812 354 8121 mahonevlaw{o,nwcable.net
City,State,and ZIP Code Telephone Number E-mail
IER- 5 __ Tt _- - . erg 7,:t,-, —_-.�- --'-- 777:-•ry ,.' -
�E:;SELLER(S)/,GRACv .C!R( )' � .:.. � -. _ , . - ,.<ta - , .- _ � - `- � I
Estate of Marjorie Catherine Straw
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
309 N 12th Street
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a 't complete as require' by law,and is pre ared in accorda e with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
1 •. - • Signature of Seller
s I b if _ice, ll!2 _f Z , //e
I'rintedName ofSeller dlpnlDate(MM/Dr/MT) I Printed Name of Seller Sign Date(MM/DD/Yrr1)
IE;BUYER(S)'76 RANTEE(S);tAPP..LICATIONFO PROP,ERTY?TAX<!DEDUCTIONS;IDENTIFY'ALLtiITEMS;THATcAP,PC1�' "'1
Kaitlynn M. Barrett
Buye rI-Name as appears on conveyance document Buyer 2-Name as appears on come%n •dr.um t 1
1608 Glenwood Dr. )
Address(Number and Street) Address(Number and Street)
Princeton,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF(( gQj1.' . TY AUDITOR
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 12 ❑ 3. Homestead
' residence? Provide complete address of primary ❑ jl 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ID 5.Wind Power Device
1627 W Brumfield
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ ID 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
lg❑ 0 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 ❑ 0 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) (yn/
City,State ZIP Code County S/ 6- 1 )-) .2- o 4- °oa t oy-0a 8
Primary property owner contact name E-mail