HomeMy WebLinkAboutHomestead_Dougherty INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _ a _'-; - . ' ; _-
James G. McDonald. III Attorney at Law
Preparer of the Sales Disclosure Form Tide
120 S.Main Street _McDonald Law Office
Address(Number and Street) Company
Princeton, Indiana 47670
E-mail
E.SELLER(S)/GRANTOR(S) . - -- •
James G McDonald III Mary Frances McDonald
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
511 7immerman Drive 511 7immerman Drive
Address(Number and Street) Address(Number and Street)
Princeton Indiana 47670 Princeton Indiana 47670
E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and ample • : required by law,and is prepared in accordance%•ith IC 6-1.155.S,"Real Prop ales Dis osure Act".
eller -7 I Signet a (-Seller I(ll p
:I ..onald Ill 011 ZOI Mary F s McDonald
(Seller Sian Date tMM/DD/}rrrl Printed Name of Seller Sian Date(M.M/DDYYY/ YI
F.BU - '-- \' EE S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY-,lid.. T Y.' -
-
Roger M. Dougherty NerR4T;,
Buyer I-Name asa rs on once document Buyer 2-Name as appears o 2J on v _ ...+ /!!
1002 N. Embree Address(Number and Street) Address(Number and Street) MAY 3 2019
Princeton, Indiana 47670
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number E-mail Telephone Number GIBBON COUNTY AUDITOR Email
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION w NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heatin: Cooling System
residence,including county: 0
5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device
❑ j 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 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 ❑ E 9.Would you like to receive tax statements for this
complete address of residence being vacated, • •.•r v . •- . 'rovide contact information
including county: below. Please see instruction , more information.
Not available in all counties.)
Address(Number and Street)
C Hi S -o 00 4s-3 , 2
City,State ZIP lode Co my
Primary property owner contact name E-m•1
Number License/ID/Other Number