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Homestead_Helsley (2) Page 2
• SDF ID: - -
;DIANA SALES DISCLOSURE FORM .-- • --�• "
,yfiPREPARER�-- '-
Attorney at Law
kt James G.McDonald,III Title
Preparer of the Sales Disclosure Form
McDonald Law Office
120 dd es Main randSt Company
Address(Number and Street)
812-385-4816 E-mail
Princeton, Indiana 47670 Telephone Number
City.State.and VP Code
E:SELLERS)/GRANTOR(S) .0 - : ,x .n1 :k.,r t x,+[:ec-_,ma+:-asa., n..a Pa:.
Samantha J McGowan
BebbyVomMeGos Jr Seller 2-Name as appears anconveyantedocument
Seller 1-Name as appears on conveyance document
2164 S 1200 E
Addr S N E Address(Number and Street)
Address(Nuum0 mber and Street)
Telephone Number
Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and Lc8mplete as req/u�lfrfpd by law,and is prepared in accordance with IC�6�1Y1`M1Sv?ea Property l r SaC�TDisc sure Act".
%� /7/L_ i�/Y�� SS4iggnnature of Seller �1'N` _�111 Z3� �J
Signy Von Seller �L ll
Robby Von McGowan Jr 031 Z3' Z0-1g Samantha) McGowan Sian Jate(MM/DO/YYYYI
Sian bate(MM/Da/YYYYI Printed Name of Seller
Printed Name of Seller _-
.F:,BUYER(S)%GRANTEE(S)�AP.PL-1'CATION;FORiP.ROP,ERTYTAX�DEDUCTI'ONS-�ll)ENTIFY'ALLITEMS:THAT'AP.PliY s -.•
Nick R.Namelev Buyer 2-Name as appears on conve antpC�Cumet
Buyerl-Nameas appears on conveyance document �t a
5113 S. Lincoln Street Address(Number and Street) +q°/�/+/.'
Address(Number and Street) s
Telephone Number
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY AlLSLF TH AT APP Y.
YES NO CONDITION ON rou
YES NO CONDITION ❑
® ❑ 3.Homestead RUpIT
1.Will this property be the buyer's primary ,,��``
residence? Provide complete address of primary 0 ® 4.Solar Energy Heating/Cooling QAtem
• residence,including county: 0 Ea 5.Wind Power Device
r
® 6.Hydroelectric Power Device
Address(Number and Street) 0 0 7.Geothermal Energy Heating/Cooling Device
County 0 S 8.Is this property a residential rental property?
City.State ZIP Code
El 0 2.Does the buyer have homestead in Indiana to be 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information.
including county: Not available in allll ccoouun�ties-)�y/ /1
', Address(Number and Street) or a/0_6a_ $j–000. o - 00 3
Covnry or‘ - Cl E-mail
City,State ZIP Code Primary property owner contact name
License/ID/Other Number