HomeMy WebLinkAboutHomestead_Davis (5) INDIANA SALES,ISCLOSURE FORM SDF ID: - - .—
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D RREPARERI2<:` ,, t-_ 't,-.�; e.'^+-°r—-- •-7.r.,
Ray Diulev Attorney No.4759-26 -
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PrepareraftheSalesDisclosure Form ' Tide
505 N.Church Street;PO Box 146 Law Office of Ray M. Drulev ' •
Address(NumberendStreet) Company
Fort,Brahch, IN 47648 - 812-753-4975 drulev(ahinsiahtbb.com "
City,State,and ZIPCode Telephone Number . E-mail
F81-E S)1,. �::u'•: i r-: ;" , - 7 T •-•, .._
Danny J Ernhercon . . • .
Seller I-Name as appears an conveyance document Seller 2-Name as a
ppears on conveyance document
2364 F Tennesee
Address(Number and Street) Address(Number and Street)
Evansville IN 47711
Telephone Number E-mall .
•Under.penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a 'complete as q 'red by law,and is prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act".
n e *) Signature of Seller
Danny.1 Fmhpr •nn March21 7013 - .
_.Printed Name 6f Seller Stan Date(MM/DO/nYp Printed Name of Seller . . - Stan Date(MM/DO
MYt)::.
E.B iEER(S)/,GRANTEE(S)=-APP,CICATIONjEQR'P,ROPERTIYLTAXWEDUCTIQNS2)IDENTI$Yt'ALLt!ITEMSgHAT.APRET(7 5Y - -PT
Ronald P. Davis . Christine A Davis
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
8206 W 425 N 8206 W 425 N
Addiess(Number and Street) Address(Number and Street)
Patoka, IN 47666 Patoka. IN 47666
Telephone Number E-mail _
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. -YES NO CONDITION YES NO CONDITION
TA ❑ 1.Will this property be the buyer's primary NI ❑ 3.Homestead
residence? Provide complete address of primary ❑ 151 4.Solar Energy Heating/Cooling System
residence,including county: ❑ la 5.Wind Power Device
8196 W 425 N
Address(A'umber and Street) ❑ 0 6.Hydroelectric Power Device
Patoka,IN 47666 - . Gibson ❑ IA 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade County
0 ❑ .2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ TA 9.Would you like to receive tax statements for this
complete address of residence'being vacated, property via e-mail?(Provide contact information -
including county: - below.Please see instructions for more infoi-mation.
8206 W 425 N Not available in all counties.)
Address(Number and Street) •
Patoka, IN 47666 . Gibson - Zip- 03. 23 -306 Ono 9?3 •d/ ' .
.City,State ZIP Code County .. . . .
Primary property owner contact name E-mall
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".-(Note:
Spouse information,Social Security and Drivers License/Other numbers are not necessary if no Homestead Deduction is
being filed:)
is f Buyer ' Signaatreeflid*r2/Spouse •
Ronald P Davis March 21 7013 Christina A Flavin. . March 21-2019
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