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HomeMy WebLinkAboutHomestead_Purdue 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(o)insiohtbb.com City,State,and ZIP Code Telephone Number E-mail &SELL'ER(S)/GRANTOR(S) L_ : a. - L'i . . •. - ----- r Devin Lee Harper Jonna I ou Isaacs Seller I-Name as appears on conveyance docent Seller 2-Name as appears on conveyance docury"at. �1l Roar k /oa� ),5I S. 'ISO Address(Number and Street) Address(Number an Street) frank I; te, K Da Mond al? IN 92U & Under penalties of perjury,l 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". �i w N6 Rm'C.c' + r9 /1{ -..•e� r.Lr)-„L_ &A----At.n I A i nature of Seller Signa re of Seller Devin I ee Hamer Aug 23 2013 Jonna Lou Isaacs Aug 23 2013 Printed Named[Seller Sian Date(MM/DD/YYYP) Printed Name of Seller Sign Date(MM/DD/YYYY) . :. •:=:IYER(S)%GRAN.. (S):=APP,LICATIONFOR'P,ROBERTY^TAX•:DE - • . .TIFY,ALL ITEMS THATAPP.hY_, ._. _ T-r . Pur•u- Boni- . P re - Buyer I-Na .., rs on conveyance document Buyer 2-Name as ap.•. on conve�°nce document anis I - • it 2 WAl In vt SCI" Address(Number and Street) Address(Num r and Street) Walhh 44toh Di y7501 Was init0 h DH t75' ) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION---...._❑ 1.Will this property be the buyer's primary 1 ig n 3.HomesteadTT T t_ ••residence? Provide complete address of primary Ene*gYrl✓eating/Cooli yspe r . residence,including county: ❑ 1 r 543 W Morton Street 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ������(� qq,l� Oakland City,IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Coblihb f32te°13 City,State ZIP Code County ❑ Fl 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential n tI property? vacated for this residence? If yes,provide ❑ 0 . • s ould you like to receive tax s is complete address of residence being vacated, 'rope • e-mail?(R&M WA10tDt)t()Y1r;n ITOR including county: •r of.P ee instructions for more information. • otwe tit e in all counties.) Address(Number and Street) (/��//� Ciry,State ZIP Code County - /�j1—d03 � CO 7 Primary property 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 filed.) k- Q - :- J P-t ricl tp Signaure pccjoyerl a Signature ofBuuyer2/Spou`c- Q I`d -I2r r •