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Homestead_Blumenstock
J INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER .. _ . _ ..... . .. . James G. McDonald, III Attorney at Law Preparer 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.SELLERS)/GRANTOR(S)_ ` • -. . . . • - - Heath Reed Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 18365E 700 Road . Address(Number and Street) Address(Number and Street) Mt Carmel Illinois 62863 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 re'uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller // Heath Reed Ut'-^ 9,2018 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYFY) ,F%BUYER(S)%GRA NTEE(S) APPLICATION:FOR PRORERfly.TAX:DEDUCTIONS5•jDENTIFY.ALL'dTEMSITHAT APPL' Kenneth E. Blumenstock Sarah L. Ma in :-a Buyer I-Name as appears on conveyance document Bayer 2-Name as appears on conveyance document " 1102 S. Gibson 1102 S. Gibson Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AP,* YES No CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead GO,T residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling SyQpm residence,including county: ❑ IN 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device City.State ZIP Code County 0 7•Geothermal Energy Heating/Cooling Device ❑ 12 2.Does the buyer have a homestead in Indiana to be 111 0 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) City,State ZIP Code County Primary property owner contact name E-mail