Homestead_Lanham (2) - -. -
INDIANA SALES DISCLOSURE FORM _ SDF ID: Page-2
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Jarhes G.McDonald, III Attorney at Law _
Prepare'a(the Sales Disclosure Form Title
120 S. Main Street McDonald Law Office . . .
Address(N umber and Street) Company
47670 812-385:4819-
City,Slate,end ZIP Cade Telephone Number E-mail
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tE„sELLER(S)/SFtANTDR(s):11,1!„. , „;r.,,,,,..fl,y,lir,.:4is,,,... 741ki-litiatt:r.IV:i1 .-7.;:::17;_;:Z :112,-;ffailli-441.-.:11-E"..:2:Xiir,KTtt.Th
James R Jaciumai Executor Estate of Carol F Kolb
Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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116W ,.pruca Street
Addresi(Number and Street) 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
an complete as re ire y la:tv,and is prepared in accordance with IC 6-1.1-S.S,"Real Property Sale S Disclosure Act".
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nntureolSeller ttirA Signature alSeller
James R Jacumai Executor 7 -/6- 02o/r -
Prinied Maine of Seller Sian!Joie fl 4,4/0D/YYM Printed Name of Seller Sign Date(Amito/litil
F. 11;r',:R(S)/GRAN: , Efc.'ARREICATIONlifORWAROP,ERTIWAXIDEDIJCIlIONSnDENTIMAI1Lt.-liffE 7 , vtiO,R191.4111:1L'IM311-11rEffi
l-n 2,11-n1.n1-1.m II 0-1 ft,
B •- •••--as a spears on to . nce document Buyer 2-Name as appears on conveyancidacument - - '- -•• — (----7
612 E-BroadwaY
Add iess(Nuthber and Street) Address(Number and Street) JUL 1 3 2018 C)
Princeton, Indiana 47670 -
Telephone Number GIBSON GOLII■ffy nil DITUR.mou
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO ER-PtrtDENTIRFA OF THOSE THAT APPLY.
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YES NO CONDITION YES NO CONDITION
EP 0 1.Will this property be the buyer's primary D 3.Homestead
residence? Provide complete address of primary 4 Solar Heating/Cooling System
riclence-,including county:
/1\ F -WD./1-d)tt) sr 0 0 S.Wind Power Device
arcs (,Vumber•nd Street 0 0 6.Hydroelectric Power Device
r i ±.„,ap II
-k , lb e • a A 0 0 7.Geothermal Energy Heating/Cooling Device
City.State Cade County
0 0 8.Is this property a residential rental property?
0 i 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 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)
e2-4- 11-- 01- 204 oo) Stcl- 022
City,State ZIP Code County
Primary property owner contact name . E-mail