HomeMy WebLinkAboutHomestead_PaytonINDIANA SALES DISCLOSURE FORM SDFID-
rdgc L
- :rs*- �XUY.u:w:sa3N[x%�TS+A'X'X
Ray M. Druley Attorney No. 4759 -26
Preparer ofthe Sala Dtsrlosure Form Title
L 505 N. Church St P O Box 146 Law Office of Ray M. Druley
Addrea (Numbe,an s eet) Company
Clry,
Fort Branch, IN 47648 J- i
State, ondLP Code
Telephone Number E -mail
City,
- Name as appears on conveyance document
Addrca (Number and Stree[)
Ciry, Sate,
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as re wired by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
St naNn oJ&Ber
/� /7 �j Stgnature o /Seller
Buy�eJr I - Nome as appears on ronveyance document
7 Buyer2- Nam101 appears on mnvyance document
Addreu(Number and5veet) �� / Addrca (Number and StreeQ
and ZIPCade
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
EV ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
Z, - residence, including county:
G
Addrat(N be and et)
St /ra'te LPCode Caunry
❑ 2. Does the buyer have ahomestead to be vacated for
this residence? If yes, ' provide complete address of
fsidencfvvacating _ingludingcounty:
Q� ❑ Homestead
❑ I k.V 4 Solar Energy Heating /Cooling System
❑ Wind Power Device
❑ F/8- Hydroelectric Power Device
Geothermal Energy Heating /Cooling Device
❑ Is this property a residential rental property?
4 -iy -1g �IbI 000 X196 00 -7
Under penalties of perjury, I hereby certify that 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, "Real Property Sales Disclosure Act ".
Signature of Buyer2
I' 1
f•J