Homestead_Thomas 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 Street McDonald Law Office
Address(Number and Street) Company
Princeton, Indiana 47670
E-mail
E.SELLER(S)/GRANTOR(S)
BRYAN F.GRUBB
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4234 NORTH SR 257
Address(Number and Street) Address(Number and Street)
OTWELL INDIANA 47564
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 mplete as regquir by 1 nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signatire a Se er Signature of Seller
Printed Name (Seller Sim Date LMMJDD/YYYY) Printed Name o Seller _Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY
WILFRED THOMAS KARI THOMAS
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
327 WEST ELM STREET 327 WEST ELM STREET
Address(Number and Street) Address(Number and Street)
OAKLAND CITY, INDIANA 47660 OAKLAND CITY, INDIANA 47660 ,,`"). •
City,State,and ZIP Code
THOSE THAT APPLY0 �Q y;r
YES NO CONDITION YES NO CONDITION Ocj \• ��
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead �L. 4'
residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling SYft3m
residence,including county: /�
❑ ❑ 5.Wind Power Device 'p
Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device
❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Z 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 ❑ 0 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)
City,State ZIP Code CountydCO / /t� fa - dip ad z
Primary property owner contact name E-mail