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INDIANA°SALES DISCLOSURE FORM SDF ID:
Page 2
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• 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 •
thy,State,and ZIP Code Telephone Number
E-mail
3EiSE-UTERI-MG RA\T,0t2(S)'r ." fs- y e �,t.. th. r Mgt air ,..,•
James C Seifers
Seller I-Name as appears on conveyance document -Seller 2-Name as appears on conveyance document
420 Kensington Drive
Address(Number and Street) Address(Number and Street)
-
Princeton Indiana 47670 -
correct
and-c'mplete as required by law,and"is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
-thilif Ci--ifel / / �,.._,
gnoture of Seller / Signature of Seller �` LIED
Jamesi Seifers • C„ I7
Printed Name of Seller Sian Date f1H Danny) Printed Name ofSeller
Sian Date(HH/DD/YYYY)
'F?R I wveA mkeLTEE S_ ISRE 'AyPIOt UTZ PROPERTEY TAX DE_Dl)CTI'ONS2I0ENTIFFiI�ti'TLL tiE 'iS r+Ailli L e3N ;ji 4
Pv1arshel Shafer t
Bit--' "---- .,rs on conveyance document Buyer 2-Name osappears on conveyance document •
lir
4137 N State Road 65 _ • 4 je
Address(Number and street) Address(Number and Street) GI'oro'^LVUPr I Y AUU1I OH
Princeton, Indiana 47670
•
YES NO CONDITION . YES NO CONDITION
g ❑ 1.Will this property be the buyer's primary �I ❑ 3.Homestead •
residence? Provide complete address of prim.'1
G .7"
- nergy Heating/Cooling System
residence,including county:
7(3 N r ?
rccv 6S- ❑ a 5.Wind Power Device
p a 6.Hydroelectric Power Device
Nu&brere anduSo-er eQ f7673
City, ZIP County ❑ a 7.Geothermal Energy Heating/Cooling Device
❑ Q' 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 ❑ a 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) -/-�
Ciry,State ZIP Code • 26 -as -�2 -Km -000 _4161 V1} .
County
Primary property owner contact name E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best 6f my knowledge and belief,is true,correct