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Home My WebLink AboutHomestead_Heavrin (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Ray M.Druley Attorney No.4759-26 Preparer of the Sales Disclosure Form Title 505 N.Church Street. PO Box 146 Law Office of Ray M. Druley Address(Number and Street) Company Fort Branch, IN 47648 812-753-4975 druley(Tinsiohtbb.com City,State,and ZIPCode Telephone Number E-mail tE.,SELEER(S)/.GRANTOR(S); -°-- r - - 'r'----.- - - — .------ Andrew C Schafer Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1394 N SR 65 Address(Number and Street) Address(Number and Street) Princeton IN 47670 Telephone Number E-mail 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,a is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". aducr- Signature of Seller / Signature of Seller Andrew C Schafer June 4 2013 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYr11 `P ERIS)%GRANTEE(S) APPLICATION,EO V-PROP,ERTYCFAX:DEDUGTIONS6IDENTIFY:AL(;.ITEMSITHAT:APP.LYi -___ rRobert Heavrin Victoria Heavrin . appears on conveyance document Buyer 2-Name as appears on conveyance document 3355E 100 N 3355E 100 N Address(Number and Street) Address(Number and Street) Princeton, IN 47670 YES NO CONDITION N ❑ 1.WiII this property be the buyer's primary Q n 3. Homestead residence? Provide complete address of primary • 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device 2304 E lake Road Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Q ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Fl 9.Would you like to receive tax statements for this complete address of residence being vac_ated_, property via e-mail?(Provide contact information including county: - --below'Please see-instructions-for moreinformation- -- 3355 E 100 N etavia au He ill u!!wurrtieh. Address(Number and Street) -t C Princeton, IN 47670 Gibson o1 - fd •O - a Y- o oa.J 3 S__O City,State ZIP Code Cou PK„..,r y,upn cy owner contact name E-mail 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 Driver's License/Other numbers are not necessary if no Homestead Deduction is being le n)g filed.) /7 // Signature of Buyer! Signature of Buyer2/Spouse wA`