Homestead_Havill INDIANA SALES DISCLOSURE FORM SDF ID:
D.PREPARER t Page 2
James G. McDonald, IIf—"—"" 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)
LARRY ALLEN DeB0R0 MONICA 0_ DeBORD
Seller I•Name as appears on conveyance document Seller 2-Name as appears an conveyance document
214 E Warnock grrpet 4906 E SrarP Road S6
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Haztetj,n, TN 476/i0
City,State,and ZiP Code City,State and ZiP Code
Telephone Number E-mail Telephone Number 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature af Seller Signature of Seller
LARRY ALLEN DeBORD _ MONTCA A_ npRnRn
Printed Name a Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Dote(MM,/oo/YvrY)
F.BUYERS "y.NTEE(S)—AP` ._:TION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY
.RR ( _ RAVTT.T. 'Sea MI C.. gaud GI--
Buyer 1- doeumt.n Buyer 2-Nam as appears on conveyance document
213 E WARNUr g STk3FFT 38a S 1%0 e
Address(Number and Street) Address(Number andStreet)
❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead IBSON COUNTY AUDITOR CB
residence? Provide complete address of primary lltl 4.Solar Energy Heating/Cooling System
residence,including county:
❑ 5.Wind Power Device
Address(Number and Street) ❑ [if 6.Hydroelectric Power Device
City.State ZI code County 0 21 7.Geothermal Energy Heating/Cooling Device
❑ 2.Does the buyer have a homestead in Indiana to be 0 ��,/ B.Is this property a residential rental property?
vacated for this residence? If yes,provide , 0 Ll 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-m -7 act information
including county: b . ease see instructions for more in or
Not avai abl In al c P un s
Address(Number and Street)
26- 2-i 6-403-000. 602-028
City,State ZIP Code �" ���
County
Primary rnperty owner contact name Email