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INDIANA S? LES DISCLOSURE FORM SDF ID: Page 2
Ray M Drulev Attorney No. 4759 -26
Preparer of the Sala Disclosure Form Title
05 N Church Street PO Box 146 _ Law Office of Ray Drulev
Address (Number and Street) Company
Fort Branch IN 47648 812 - 7534975 drulev(ainsiahtbb.com
City State, and ZIP Code Telephone Number E -mail
"5_E�SELtiER
(.erald T White
Seller 1 - Name as appears on conveyvnce document
155 Camellin Or
Seller 2 - Name as appears on conveyvnce document
Address (Number and Street)
I epchl rg FI 44788
Address (Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and -belief, is true, correct
and complete s requ� e j bylaw, and' prepared in accordance with IC 6- 1.1.5.5, "Real Property Sales Disclosure Act ".
U
Q�] /a 1 A
Signature of Seller r /�Jt Signs Nre of Seller
(: prald T White
Printed Name o Seller Si nDare MM D Printed Name o Seller Sign Data (MM o
_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLYF ERTAIN DEDUCTIONS FOR THIS PROPER IFY ALL OF THOSE THAT AP
YES NO CONDITION YES NO CONDITION
Q ❑ 1. Will this property be the buyer's prima
Q ❑ 3. Homestead
residence? Provide complete address of primary
❑ ❑ 4. Solar Energy Heating /Co ng System
residence, including county:
F,(1 S. Wi e
711 a Walnut etrP.Pt
❑ ,I 6. Hydroelectric Power Device
❑ y
Street)
Address (Number and
Oakland City, IN 47660 Gibson
❑ 07. Geothermal Energy Heating /Cooling Device
El [Z] 8. is this property a residential rental property?
City, State ZIP Code County
❑ Q 2. Does the buyer have a homestead in Indiana to be
❑ ❑✓ 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide
via e-mail? (Provide contact information
complete address of residence being vacated,
property
below. Please see instructions for more information.
including county:
Not available in all counties.)
ak7 -I y -r�- �o�.- boa 7_24;-00 6
Address (Number and Street)
City, Smte ZIPCode Counry
Pdmorypropertyawner concoct name E -mail