Homestead_Montgomery (13) .INDIANA SALES DISCLOSURE FORM SDF ID:
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, FD.PREPARER- .'_. ' .f:' Tdtilk .,. r�iF- 71 "n''SF �,.y tr ��j...4 ate.. . �L._ _.i1.-f �� VGi.���1�1;__1=.y.� t :IvL� +'t I(`yT_LtiSi6tcSI�o"'e
Ray M. Drule& Attorne4 No.4759-26
Pre-icier of the Sales Dsclosure Form Tide
505 N.Church Street, PO Box 146 Law Office of Ray M. Drulev
Address(Number and Street) Company •
Fort Branch,IN 47648
.ESSEL-LER(S%GRANTOR J- _ Leek-h rs- t y`'c'sm- 2: — L,_ -'•^ : ::� . [=mac' yir xfiki Li Ky sl r
Tony Deffendall •
qQ/,-,�q� -
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance d et �J
1178 N Main St y
Address(Number and Street) Address(Number and Street)
i Princeton IN 47670 /� 0�0�� /
Ciry,Smrt and ZIP Code City,State,and ZIP Cade
'fr.y®�,`•' �1 \sO�
E-mail Telephone Number
J E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge a le,is true,correct
and corn lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property S sclosure Act".
{ Pi I so
Signature of Se er Signature of Seller l,e .
Tony Deffendall 7/8/19
Printed Name of Seller , Sign Date(MM/DO/YYM Printed Na-me of Seller -Sign Date(MM/DO/nY) -
'FaBUYERf , S)1_AP.P,CIGATI-61 FOR'P,ROP,EEMilTAXDEDUCTIONS IDENTleiiALLiTEMSTHATAPPLY'_
Jessie Montgomery - '
Bo erl-Name as appears o nce document Buyer 2 Name as appears on conveyancee document
203 N. Smith St.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
E-mail Telephone Na E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTH PERTY. IDENTIFY ALL OF THOSE T APPLY.
• YES NO CONDITION I YES NO CONDITION
Q ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead
• residence? Provide complete address of primary -_�,.I filar Energy gy 'e. ing/Cooling System
residence, including county:
703 N.Smith St ❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/CoolingDevice
Ciry,State ZIPCode 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 ❑ ❑✓ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via - ntact information
including county: . lease see instructions far more I -notion.
Not available hi all counties.)
Address(Number and Street) •
((((�''''����---s
•
City,State te ZIP Code County W J E�_ ��_ r-I I -. 033 I. - b
Prim r owner contact name �.
Number License/ID/Other Number