Homestead_James (2) /
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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - -
James G-McDonald. III Attorney at Law
Prepares of the Sales Disclosure Form Title
645 S White Church Road • McDonald Law Office •
Address(Number and Street) Company r e1
I
Princeton. Indiana 47670 I 812-385-4816 I
City State,and ZIP Cade Telephone Number Email
E.SELLER(S)/GRANTOR(S). - . . . . . - . .. . . ..
Timothy James Kolb Dennis Alan Kolb
Seller I-Name as appears on conveyance document Seller 2•Name as appears nn conveyance document
101 Fborle R ad I '364 Snore Dew.
—Address(Number and Street) I Address(Number and Street)
Hickory Pennsylvania 15T40 Princeton Indiana 47670
City,State.and ZIP Code
City,State and ZIPCade
E-mail
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and completeo/ as
required by law,and is prepared in accordance with IC 6-1.1-5.5,("�R(�eeal�l PProperty Sales Disclosure Act".
c ,,,,:i i. a.met z2( "'Q/YVytL "" /1 S/tr
Signatureof J / Signature of Seller /
Timothy James-Kolb • 3 (2 ZOI 9 Dennis Alan Kolb 4/Z/ ZOJ 9
Printed.Name of Seller Sian Date IN4/➢OlYYYI) Printed Name of Seller Sian lf!l/ate Imm/DE- /rvvl
F.BUYER(S)/GRANTEE(S)T.APPLICATION'FOR PROPERTY..TAX:DEDUCTIONS=:IDEIbtITEit{}�;�PPLY
Joshua James l i ! p
\Bv/er I-.Name as appears en conveyance document Buyer Nome as -
_ v}' *pears an ronveydncc Udl4
ICc 7—S•Ser;nc S+reel'- /-( &
Address(Number and Street) J Address(Number and StrX 1 4 2019
Pr;nee{-nn I kJ t47fo70
E-mail Telephone NuteI SP Fill!MTV AlinITC)R E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION /ES NO CONDITION
[I ❑ 1.Will this property be the buyer's primary I 0 0 3.Homestead
residence? Provide complete address of primary ' un- _0=4=Selar Energy Heating/Cooling System
residence,including county:
Co C15 S Wk t 4-C Cilia c it 2.oeteL 0 ❑✓ 5.Wind Power Device
Ad+rest(Number and Street) El 06.Hydroelectric Power Device
Pr:vtCC{-a n ( N 47 Co—70 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCade County
❑ f,�], 2.Does the buyer have a homestead in Indiana to be 0 Crl 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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) (U) 11- t S ` l CA- O 11- 1251- oz t
City,State ZIP code County
Primarypraperty owner contort name E-mail
-
Number License/ID/Other Number