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INDIANA•SALES DISCLOSURE FORM SDF ID: Page 2
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,REP.ARER_ . _,
Ray M. Drulev 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 drulev(a,insiahtbb.com
City.State,and ZIP Code Telephone Number E-mail
•E?SEL'I ER(S)/GRANTOR(S)"-7 = ' T —
Debris H Hill
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
'tic? 1(ith/eeti Ave
Address(Number and Street) /'' . 1' ���/� Address(Number and Street)
P' Evansvl P�
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
and complete as regq/uirre�d bbyy law,a��nJ\d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
PPloriv H Hill 041)2014
Printed N•_..., -- Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD(ri )
:F': IYER(SI/,GRANTE ' 'APPEIGAT10N,EWRROPERTN TAX'DEDUCTIONSLDENTIFy/AWITEMSTHAVAPPLY-�• __ _, 4,
Percy G. Power erri A. Power
Buyer I- vs.•, •rs on conveyance document Buyer 2-Name as a•.-•. an conveyance document
" —izli h a o k 4 -- -► Si X .5"c" hei01 Nal
Address(Number and Street) Address(Number and Street)
Prineetenr4N4476•7•0 4 Vuh5 vi (lei TN 777 Z 0 P, ,ae-ma�edo L var,s✓,Ile) -fi 2.0
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. APR 1 4 A 20 4
�
YES NO CONDITION YNIT CONDITION
0 ❑ 1.Will this property be the buyer's primary • 0 ❑ 3. Homestead ���[[,, . 2
residence? Provide complete address of primary 4.Sola HeatingffSplif2'C'�
residence,including county: ❑ ONN OUNTY AUDITOR
1020 5 Seminary Street 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ a 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
SI
❑ ig 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,PPPP,,roovvi•- ❑ 0 9.Would you like to receive tax statements for this
complete address of'�21SdI- beil7 u c•1_�;.,�,, property via e-mail?(Provide contact information
including county: g-1 11 �/ below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) APR 11 2014 £ -/a—/f- JO/_ 00/ Ala_ Da?
City,State ZIP Code County
Primary property owner contact name E-mail