Homestead_Burton ..--.......-..-_.._. ...,. ,... raged
D.PREPARER . . .- .- . .
James G.McDonald.Ill Attorney at Law •
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Prepe.e.OrtlteRleD''sGnsareFarm ride
120 S.Main Street . - McDonald Law e
Address(Number and Street) Company -
Princeotn,Indiana 47670 -
E-mail
E.SELLER(5)/GRANTOR(5) • ..•• -• - . ..
Pail Feiwud Hathaway Cn_Fx eittnr Wima Hathaway Fctxe idicty Cederhnlm Co-Fxeritnr N5tma Hathaway Fctat.'
Seller I-Nay as appears on cmveyaxedocannt - SeDer 2-Nome at appears nn tnnveyaxe document
3797 F SO N - 1842 F State Road 54
Address(N=ber endStreet) Address(.Number cadStreet) - -
Prinrptnn Indiana 47670 Prinri.tnn Indiana 47670
Ciy,State.and DP Code City,State.and ZIP Code
812-664-0633 812-677-6646
Telephone Mambo' - Smolt 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
co plate as required by law nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
� la ,1 m:��� CO ego .
Signature or Sella Signature aftef r
Paul Edward Hathaway - Misty Cedetholm
Printed,Nanie o(Sel& - Sian Date(sw/ppmn) Printed Namea(Seller Sian fate PW/aaereM
FiBtlYER(Sj-/GRANTEFS)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE TLYED
Timothy J Burton - `I - Kristi Ft. Burton . -
�BryerI•Name esapperson veyance document Boyer 2-Name Cu appears on roonrianc
907 N Second Street 907 N Second Street -
Addreu(Number cad Drat) Address(Number cr. Street) APR 3 0 2019
.n<N Telephone Number I(r Email
THE SALES DISCLOSURE FOAM HAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS -•'ERTY.IDENTIFY ALL•. a . -t7RP'ChOUN?AUDITOR
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ PI 4.8. _.:.- -eating/Cooling System
residence,including county:
• 0 5.Wind Power Device
Address(Namxiod Street) ❑ Q 6.Hydroelectric Power Device
try.StmeN cote tawny 0 ❑ 7.Geothermal Energy Heating/Cooling Device
0 0 2.Does the buyer have a homestead in Indiana to be 0 08.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, via e-mail?(Provide con ation
including county: below.Please see instructions for more inform .
7-6 —AI NoOtoyaila - inAllcobie 1- 1
Address(Number and s.+t) - ,tT* bb� ,5 � ' ' O-O2
City,Duty VP Cade Coon.
Primary property owner contact name E-mail
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Under penalties of perjury,i hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct