HomeMy WebLinkAboutHomestead_Takacs 4 H. PREPARER
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Preparer of the Sales Disclosure Form Title
JAMES G. MCDONALD, III
ATTORNEY AT LAW
Company
, 120 South Main Street, Princeton, IN 47670
I.SELLER(S)/GRANTOR(S) FILE
Seller 1—Name as it appears on conveyance document Seller 2—t'tame as appears on¢'rare n tlocu�+eht Estate of Jeannine S. Deckard ll it i
Address(number and street) Address(number and street) ,
2002 W. Glenwood Dr MAR 2 9 2022
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 2 / )
Country ", j/(/ •
United States Country UniteMates
I ON COUNTY AUDITOR
E-mail address E-mail address
_ � I Telephone number
' ( ) i
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
il 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 Levet 5 felony.
Si atur f Sei r y�,,� Signature of Seller
. ri t d Name a lerr ^'L�- Date si ned( mfddlyyyy) Printed Name of Seller
Date signed(mm/ddlyyyy)
Kimberly ynn Moore
deductions.Identify all of those that a I YES NO CONDITION PP Y
YES NO,NO CONDITION
1.Will this property be the buyer's primary s36 I .- 3.Homestead
d 1'' residence?
0 Er' 4.Solar Energy Heating or Cooling System
G( f - 2.Does the buyer have a homestead to be vacated 0 G' 5.Wind Power Device
for this residence?If yes,provide address:
O O" 6.Hydroelectric Power Device
Address
(number and street)
0
L..\CA SA-ovr R..�VI f,1,� GA- rt Ya-IV OrNQv (3'... 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code j
Count/
‘A-,k rr*.,^ N-e'.tgk+ . t c s sq ay 6--11 -1'2 -103- 000 1)3 6 -02 g
Under penalties of perjury,I hereby certify that.this,Sales.Disciosure,'to the best of my-knowledge-and belief,is true,correct and complete
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