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ADIANA SALES,DISCLOSURE FORM SDF ID:
Pa ,e 2
•,/ James G. McDonald, Ill
Preparer of the Sales Disclosure Form Attorney at Law
Title
120 S. Main Street McDonald Law Office
Address(Number and Street)
E-mail
E SELLER S] .,GRANTOR[S
GAYLF COCHRAN
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
502 SOUTH STORMONT
Address(Number and Street) Address(Number and Street)
PRINCFTON IN 47670
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".
e Signature ofSeller
Signature of Seller
GAYLE COCHRAN 0S•-2._Z_Z-0
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller
. 13UYER(S)/GRANTEES Sign Date(M�/DD/YYYY�
O -.`APPLICATION;FOR PROPERTY'TAX DEDUCTIONS IDENTIFYfALL ITEMS THAT APPLY
JERRY TICE
jBuyer 1.-Name as appears on conveyance document Buyer -Name as appears on core nc do men R 1
7005 W. 350 NORTH
Address(Number and Street) Address(Number and Street)
PATOKA,IN 47666 MAY 2 6 2020
E-mail Telephone Number
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL 6tiAl Y AUDITOR E-mailYES NO CONDITION " YES NO CONDITION
1.Will this property be the buyer's primary ] -3:Hbmestead
residence? Provide complete address of primary
residence,including county: ❑ 0 4.Solar Energy Heating/Cooling System
❑ Q 5.Wind Power Device
Addresr(Numler and Etreet) ❑ [ 6.Hydroelectric Power Device
❑ ® 7.Geothermal Energy Heating/Cooling Device
City,ScuteZlP.Gode �Counry
❑ N/'2:Does the buyer have a homestead in Indiana to be ❑ Q.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 e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) y, ^
City,State ZIP Code County .6 O� �� `"-' -coo. 1-I3it �u s
License/ID/Other Number