Homestead_Brubaker (2) 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)
E-mail
E.SELLER(S)/GRANTOR(S
Jnyre A_ Reed
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
-
Address(Number an Street) Address(Number and Street)
Princeton, TN 47670 City,State,andZlPCode
that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as re fired law,a d s prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Si tore of eller n Signature of Seller
- y 8
( /
Printe eofSeller SignDate MM /YYYY1
DD Printed Name of Seller Sign Date(MM/DD/YYri)
F. i1ER(S)/GRANTEE(S)-APPL\CATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Jason Brubaker
Buyer 1-Name as a e"-eon ar o
zs cument Buyer 2-Name as a=o cote oc m t)
/i13 W. Vine Street Address Numberan reetj
_ Address,(Number and Street)
Patoka. IN 47666 City,State and ZIP Code NUV 2 2019
E-mail �.:,i •Magill^Ta�
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS F ' HIS PROPERTY.IDENTIFY AL
LY.
YES ' NO CONDITION YES NO Gai•:t46N1 COUNTY UDITOR
z' ❑ 1.Will this property be the buyer's primary o- ❑ 3.Homestead
residence? Provide complete address of primary _ eating/Cooling System
residence,including county: ❑ E. S.Wind Power Device
Address(Number and Street) ❑ a' 6.Hydroelectric Power Device
A/b ❑ a7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code cO0"ry ❑ Ej 8:Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 9.W ,�, r five tax statements for this
vacated for this residence? If yes,provideproperty via e-mail?(Provi e t information
complete address of residence being vacated, below.Please see instructions for more in otion.
including county: N Not available counties.)
Address(Number and Street) D� r- Dt4 / -J 03r-00 0, D 9q'020
City,State ZIP Code County ����0000 V_I C E-mail
inwO Zertyownercontactn