HomeMy WebLinkAboutHomestead_Singleton (3)r INDIANA SALFS DISCLOSURE FORM SDF ID: ..
Ray M. Drulev Attomev No. 4759-26
Reparer o/the Sala D'uclvsure iorm Title
505 N. Church Street. P O Box 146 Law Office of Rav Drulev
Add�efs(Num6erandSRee[J Company �
Fort Branch. IN 47648
City, Sm[q and LP Lodr TelepAone Number E-mau
Heath R Sin9letnn
Seller 1� Nomr os aypears on conveyvnro document
110fi F Evans St
Addr� (NUm6erund Stree[)
Princetnn IN 47670
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SeUer 2- Nome as appears m ronveyvnce docvment
1106 F. Evans St
ACdras(NumberandSVee!)
Under penaltie f perjury, l hereb �ertif} that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and comp et s require y aw, and is p epared in accordance with IC 6-1.1-5.5, " e 1 Property Sales Disclosure Act'.
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.afh H Sinnletnn / . J V � Z /fl 1 V .lamia l Sinnlafnn 7 ' / � _� / �/
Buyer I
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THE SALES DISCLONRE PoIiM MAY BE USED TO APPLY i0R CERTAI.Y
�✓ � 1. Will this property be the buyer's preinary
residence? Provide complete address of pri
residente, including county:
Addrm (Number and Street)
Princeton IN 47670 Gibson
(�r �yoteZ Code Counry
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? if yes, provide
complete address of residence being vacated,
insluding tor_ ty:
— �„y,>�«�r��,� ca��ry
Buyer2-Nomeasaypearson n eynncedatvmmt
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�A ress(Numberand5 etJ
�ri���p �-/�r��N, �,y �70
E-ma
�Y�.-tBLNTY OFTHOSETHATAPPLY.
YFS NO [OYDrtiOY
�✓ � 3. Nomestead
� Q 4. Solar Energy Hea � g/Cooling Sys[em
U U $. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ �✓ 7. Geochermal Energy Heating/Cooling Device
❑ ❑J 8. Is [his property a residential rentai property?
� Q✓ 9. uld you like m receive tax sWtements for [his
rty via e-mail? (Provide contact injormation
Please see ins[ructions for more in%rmation.
Nat available rn all counties.)
�G-�a oe� 3oi-ooi ��i-oa�'
name
E mail
Under penalties of perjury, I hereby certify [hat this Sales Disdosure, [o the best of my knowledge and belief, is [rue, correct
and cample[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse informa[ion, Soci ecurity and Driver's License/Other nu ers are not necessary if no Homestead Deduttion is
being e
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