Homestead_Titzer (2) •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
James G. McDoanld. 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
Clty,State.and TIP Code Telephone Number E-mall
E.SELLER(S)/GRANTOR(S)
I eiva R Rnsecker Executrix Maxine B Newman Estate
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5407 Wabash 12 Avenue
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
and c plete as r ire law,and is pre ared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act".
o/ - r G6[�JL.!/l� l�L
a��wveofserk �A Signature of Seller
I sires
(/YES .$O rO$DITION
0 ❑ 1.Will this property be the buyer's primary / Q ❑ 3.Homestea
residence? Provide complete address of primary \ ❑ 0 4.Solar hnergy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
City State ZIP fade County
❑ 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)
City.State ZIP Code [aunty e? -era - b/ - 4 2 0/ 000. 0,36 - co?
Primary property owner contact name E-mail