HomeMy WebLinkAboutHomestead_Cowan (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER .- -_.. T. ,.. .... t _ ._ . .- l. i'SITi.dsti -..%2:"`..e .r.. L i....c,,.i_ ,`_.-....e .`' I. _- •-` a.-.
James G.McDonald. Ill Attorney at Lat
Prepares of the Sales Disclosure Farm Tide
120 S.Main Street McDonald Law Office
Address(Number and Street) Company
Princeton. Indiana 47670 812-385-4816
City.Stare.and ZIP Code Telephone Number ' E-mail
E.SELLER(S)/GRANTOR(S) .. - . - . .
Deborah Kay Sampson Fxectrix Daniel M Coomer Estate
Seller 1-Name as appears on conveyance document Seller 2-Month as appears on conveyance document
303 F Poplar Street I . I
Address(.YuinSer and Street) Address(Number and Street)
I
Fort Branch Indiana 47648
City,State,and ZIP Code City.State,and ZIP Code
._ E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
-rdz mmppietteaasreqi required
by -lara and is prepared in accordance with IC 6-1,1-5.5,"Real Property Sales Disclosure Act".
` •
dare of Seller U �X.�y�•t ruin Signature of Seller
Dahnrah Kay Samnsnn �t 3 -4-1 4
Printed Name of eller Sian Dare lxv/Dv/1Th1 Printed Name al Seller SiadOatetNwaa/Yrin
CER(S)/SPPLlCATiON-FORPROPERTYTAX
DEDUC-TlONS;IDENTIFYALL ITEMS THATAPP.LY. .. _topher Cowaqqqopher as appears an cony nee document Buyer Z•Name as appears on conveyance -1,+
10(74-$_Hall Street
Address(,.''umber and Street) Address(Number and Street) -
Princeton Indiana 47670
��
(/^ E-mail Telephone Number E-mail
TUE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR OPERTY.IDENTIFY A SE THAT rP 'ittiiter
YES NO CONDITION / I YES NO CONDITION GI ON ern lidTv Atii1):TOR
❑ ❑ 1.Will this property be the buyer's primary l( IAIL 0 ❑ 3.Homestead "'
residence? Provide complete address of primary n ui_ 4.Solar Energy Limiting/Cooling System
residence, county: O ❑
ty' S.Wind Power Device
Address(N umberand Street) ❑ Q 6.Hydroelectric Power Device
❑ j 7.Geothermal Energy Heating/Cooling Device
Clp:State ZIP Code - County
❑ [fJ 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 ❑ 2 9•Would you like to receive tax statements for this
complete address of residence being vacated, prope via a-mail? Provide contact information
including county: w.Please see instructions information.
Not available in all counties.)
Address(Number and Street)
'A I;"-1 ICfr 000 . +2 -0
City,State ZIP Code Caunry - _
Primary property owner contact name E-mail
Number License/ID/Other Number