Homestead_Young INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
James G. McDonald, III Attorney at Law
Preparer of the Sales Disclosure Form Title
120 S. Main McDonald Law Office
Address(Number and Street) Company
Princeton, IN 47670 (
E-mail
E.SELLER(S)JGRANTOR(S) -
Rnbellrt E- Sloan Seller2-Nameasappearsonconveyancedocument
Seller 1-Name as appears on conveyance document
P. 0. Box 184
Address(Number and Street) Address(Number and Street)
Franrjscos IN /i764i9
certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSeller Signature ofSeller '4,
Robert E_ Sloan Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller ,logo Dote(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE A A Y -.s
William D. YoungBuyer2-Nameas onconv once ment
Buyer 1-Name as appears on co eyance documentappearsC Q `O
(Number 103 South Brown Street AddressandStreet) ` P
•
Address(Number and Street) .S`�
Hazleton, IN 47640
FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
d ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead
residence? Provide complete address of primary ❑ E 4.Solar Energy Heating/Cooling System
residence,including county: ❑ [►t 5.Wind Power Device
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
❑ ❑y 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ R 8.Is this property a residential rental property?
❑ [►� 2.Does the buyer have a homestead in Indiana to be El ® 9.Would you like to receive tax statements for this
vacated for this residence? If es,provide
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) ao- s C \-VOj 1 ��ll op,
State ZIP Code County Primary property owner contact name E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Number License/ID/Other Number
l