Homestead_McDonald H. PREPARER
Preparer of the Sales Disclosure Form Title
Daphne Kramer Paralegal
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St., Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seiler 1—Name as it appears on conveyance document Seller 2—Name as appears on cony ocument
Rylee Bradshaw
-4,6-/- A
Address(number and streot) Address(number and street)
203 Barnes Street
City,state,and ZIP Code City,state,and ZIP Code /y4Q
Patoka, IN 47666 IT
Country Country 7 10
USA Q/eLs _ ?V
E-mail address
o(/ti� ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,la ct and complete as
required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. R
Signa, of Seller Signature of Seller
Print ame of Seller Date signed(mm/dd/yyyy) Printed Name of Seiler Date signed( )
Rylee Bradshaw .a-)-x- Xy Ric c Qrc-AS 4.,
J. BUYER(S)/GRANTEE(S)—APPUCATiON 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
Michael McDonald
Address(number and street) Address(number and street)
4877 SR 261 Box D
City,state,and ZIP Code City,state,and ZIP Code
Newburgh, IN 47630
Country Country
USA
E-mail address
( )
Pursuant to IC 6.1.1.12.44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary CIO 3.Homestead
residence? O E 4.Solar Energy Heating or Cooling System
O E 2.Does the buyer have a homestead to be vacated 0 E 5.Wind Power Device
for this residence? if yes,provide address: O E 6.Hydroelectric Power Device
Address(number and street) O Q 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
1_6-011 -2)----t01 _ 000 . s38 -07, ,
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