Homestead_Day 1
1 H. PREPARER
Preparer of the Sales Disclosure Form Title
JAMES G. MCDONALD III ATTORNEY AT LAW
Company
Address(number and street,city,state,country,and ZIP Code)
120 South Main Street, Princeton, Indiana 47670
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Ectate of Pearl L. Bo..-an Ccrald W. Bogan
Ar�drgs (r§umbec np>street) Address(number and street)
City,state,and ZIP Code City,state,and ZIP Code
coOarkyland City, Indiana 47660
United States Country
E-mail address
( )
Under penalties of perjury,I hereby certify 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.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller ( Signature of Seller
•-4 ) - ki-, LA-) Vn}
Printed Name of Seller _ P Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Gerald W. Bogan
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Olivia M. Day Jonah T. Pay
Address(number and street) Address(number and street)
118 S. 3rd Ave. 115 S trri Ave
City,state,and ZIP Code City,state,and ZIP Code
Oakland City_ TN 47660 Oakland Cary, IN /i7660
Country
Country
United States Unitcd Statcs
E-mail address
YES NO CONDITION YES NO CONDITION -
❑ 1.Will this property be the buyer's primary li) 0 3. Homestead iii .
residence? 0 L 4. Solar Energy Heating or Cooling System
❑ ❑ 2. Does the buyer have a homestead to be vacated 0 5.Wind Power Device
for this residence? If yes, provide address: 0 l 6.Hydroelectric Power Device
Address(number and street) 0 X) 7.Geothermal Energy Heating or Cooling Device
City.state,and ZIP Code County
,