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Homestead_Highley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER , James G.McDonald, Ill Attorney at Law Preparer of the Sales Disclosure Form Title 120 S. Main Street McDonald Law Office Address(Number and Sweet) Company Princeton, Indiana 47670 812-385-4816 City,Stare,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) ' Donald H Scales ,Ir Executor Donald H.Scales Sr Estate Seller 1-Name as appears an conveyance document Seler 2-Name as appears on conveyance document 612 S Main Street Address(Number and Sweet) Address(Number and Street) Princeton Indiana 47670 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 required by lay, nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /Q/�Q/ .rs,6/l�i Signature of Seller C // Signature of Seller Donald H Scales Jr Executor 6-1-1, Printed Name ofSeller Sian Dote(MM/DD/YYYY) Printed Name o&Seller Sian Date tiM/DD/Y'm F.BUYER(S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL 4T A P essica E. HiohleY J �J roger I-ha em as appears on conveyance document Buyer 2-Name as appears on conveyance document 308 S West Mill Street AUG 7 7017 Address(Number and Street) Address(Number and Street) Patoka, Indiana 47666 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO CO . N ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead residence? Provide complete address of primary _1—JJ 4.Solar Energy Heating/Cooling System 3U 8 a residence, �„)QS4 el t ti including county:InE\-lett k ❑ 5.Wind Power Device �^ess(Number and Street) . ® 6.Hydroelectric Power Device f•D ' K-0, .=a1/41 4-14 Li la Gibson ❑ (p 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ® 2.Does the buyer have a homestead in Indiana to be El ® B. 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) a ,—Oy - a S -1 to/- 00 D. 3 iv -o}O City State ZIP Code County —'SS;C� �, t-t{ Qt�(Q,� Primary property owner contact nadre) Email