Homestead_Grubb (5) - INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
-D.PREPARER _ _ - - - - --. .. - -
_:4- James G. McDonald, Ill Attorney at Law
Preparer of the Sala Disclosure Form Title
120 S. Main Street McDonald Law Office
Address(Number and Street) Company
Princeton, IN 47670 812-385-4816
City,State,and ZIP Code Telephone Number E mai!
E.SELLER(S)/GRANTOR(S)' - - _-
Teresa A Palmer Personal Renresontative Howard Hardiman Fstate
Seller I-Name as appears on conveyancedorument Seller 2-Name as appears on conveyance document
P 0 Box 1294
Address(Number and Street) Address(Number and Street)
Murray KY 42071
Telephone Number E-mail
Under I -nalties + hereby certify that t ' .les Disclosure,to the best of my knowledge and belief,is true,correct
and c r•plete aa. req law,and i/��/ epar'din ac ordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act".
Llin tit
nnruren):Seller ('1 Signature of Seller
Teresa A Palmer _i/ r81Ap
Printed Name or Seller Sian Date taus/DO/IYY) Printed Name of Seller Sian Date(MM/DanYYYI
F.BUYER(S)/GRANTEE(S)-APPLICATIONFOR•PROPERTY-TAX DEDUCTIONS-IDENTIFY-ALL 1T��7yt6 AP��L{ •1:
elsev L. Grubb N r�,
- 'n• curs on conveyance document Buyer 2-Name as appears an conveyance document
218E Walnut Sheet OCT 1 2018
Address(Number and Street) Address(Number and Street) .
Princeton IN 47670 -
CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y N
❑ ❑ 1.Will this property be the buyer's primary tir.3.Homestead
residence,
Provide complete address of primary ❑ i,Ji 4.Solar Energy Heating/Cooling System
a 18 -• re;i r>F Judi�county:V 0 0
re N T T5.Wind Power Device
less.INambrraneStres) I ��70 8avJ ❑ ❑ 6.Hydroelectric Power Device
pC£w /l alp
❑ E 7.Geothermal Energy Heating/Cooling Device
Cry,State ZIP ode county
❑ 1 2.Does the buyer have a homestead in Indiana to be 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 Ell 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 wand eV
Address(.Number and Street) 6—/s1- O —d-01." 00/.
i'asey L. 6a. 093 -0Ay .
City,State ZIP Cade County
Primary property owner contact name E-mail
Number License/ID/Other Number