Homestead_MAddox INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
atPREPARER4�.' , rt : .Y7:- -< :- 17.7=^' : _, : s'-f a :_,; . t
Brian K.Mahoney Attorney
Preparer of the Sales Disclosure Form Tide
822 Main Street,P.O. Box 176 Mahoney Law Office
Address(Number and Street)
E-mail
7E.=SELLER'(S)'/GRANT,OR(S)f ` ,,__ c =":-- of
James F I awrence Megan I awrence
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
322 N Grove Street 322 N Grove Street
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
E-mail
Unde •enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a : co' plete as r uired by law,and is prepared in accordance wi h IC 6-1. - .5," eal Property Sales Disclosure Act".
/xsited 4 ccC-C 5-R -11 wt.t,r,•l.e.-+w 513 20ICI
Signature of Stile? Signatu' of Seller
JamesF Iawrenre 5-13-1� Megan awrence �J-13-I�
Printed Name of Seller Sign Date(MM/DarynYh Printed Name of Seller Sign Date(MM/Do/rm1
'F,iBUYER(S1jfR�NTEE(SWAP.P,bICATIO ORtP,ROPERTjYaTAXIDEDUC-TIONSaiIDENTIFY:ALL iTEMSSTHAVARP,EY A— _.='„L:-
Kent A.Maddox =
Heather
n d u t
510 N 7th Street#A 510 N 7th Street NA
Address(Number and Street) Address(Number and Street) MAY 142019
1J NTY AUDITOP.
YES NO CONDITION YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead
residence? Provide complete address of prim eating/Cooling System
residence,including county: ❑ ❑✓ 5.Wind Power Device
322 N Grove Street
Address(Number and Street) ❑ ❑✓ 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
Ciry,State LP Code County
❑ ❑✓ 2.Does the buyer have a homestead in Indiana to be El 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Ill 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: bel see Ins ore information.
Not available in all counties.)
Address(Number and Street)
1-k4 -Vg -30 2-oot oTs- _ 0-r
Ciry,State ZIP Code County -
Primary p owner contact name - E-mail