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Homestead_Hernandez_Garcia
( DIANA SALES DISCLOSURE FORM SDF ID:W.PREPAREn:Ti ,. ' - - , . .. Page 2. .� .., �_ .--.. ...tif.-:..r s' � :.t .. . .t:.3:r�1 Ar -`_''* u "� ate.ge�L.�c. I 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 City,State,and ZIP Code Tel E-mail - -.E.'SELLER S GRANTORS _fK� z \ rH •e,:->'?e"r :.�..:,. ..°.Ek`.�< _..�s^Lz€';. 1 Y° , r -^;>.. �� .. -._: df>. ,._:JS�--.�;.,:ar cis\ �, Fstate of Anthony Beadles Jennifer Beadles Fxecutrix - Seller I Name as appears on conveyance document - Seller 2-Name as appears on conveyance document 1228 S 350 W Address(Number and Street) Address(Number and Street) Princeton Indiana 47670 Email Telephone Number - E-mail Under penal ies of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co - as re red b 'law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act", 5ufiotur of Seller Signature of Seller Jennifer Beadles Executrix. I Zit: /I Q Printed Name o/Seller - Sian Date(MN/DD/1Yin) Printed Name of Seller Sian Date(MM/DD/Ym) F2BU.YER[S)%GRA\TEE(SMAPPLICATI0K-E0MRR0RERTtY'TAX7iDEDUCTI010 1DE�;TIF1'tALL TEMS I7HATA11RLY, 51„:5:-.7;.11,5.1.FIN','- Eduardo Hernandez-Garcia Buyer I-Name as appears on conveyance document'. Buyer 2-Name as appears on conveyance documen' 928S. •. Address(Number and Street) Address(Number and Street) Princeton, Indiana 47670 Dec E-mail Telephone Number &r . p,•n,,�' E-mail THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA 20ir YES NO CONDITION YES NO CONDITION ✓nfl ❑ ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead 'Op,TO , residence? Provide complete address of primary R residence,including county: ❑ © 4.Solar Energy Heating/Cooling System ❑ 0 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Ciry,.State ZIP Code Court , ❑ Z 7.Geothermal Energy Heating/Cooling Device Q Q 2.Does the buyer have a homestead in Indiana to be ❑ IZ R.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ V7 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) (L ^/ /� Ciry•,State ZIP Cade C \() \�")43 l�I —Oa0 '3t-r- / 12 County Primary property owner contact name E-mail Number License/ID/Other Number