HomeMy WebLinkAboutHomestead_Mayer (12) INDIANA SALES DISCLOSURE FORM SDF ID: . ' Page 2
D.PREPARER- .
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 druleylaw(ayahoo.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . - ' - - - .-
MichaeLl Mayer Rebecca A Mayer
Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document
9911S150W 9911slsow
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and rnmniete asreq 'red by law,and is prepared in accordance wi IC 66�11-5`_5,"Real Property Sales Disclosure Act".•
Signaturey......er -!0 A7 1��.�2 g-11-26 y Signature of Seller /-;l I/1/��1‘4 , 1 ink
i • . r/ '. • r ' e id/ -1 ii-MY
--Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller ',Mi.' 'ms's e.' Al/DD
F.BUYER(S)/GRANTEE(S)"-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIEY ALL ITEMS THAT'APPLY" , - ,
Leven A Mayer Justine Mayer AU6 2 1 2014
Buyef"—Name acappaam-e nveyance document Buyer 2-Name as appears on conveyance document
9066 S 225 W •I66 S 225 W ,'
Address(Number and Street) Address(Number and Street) urn Tr • f�'/rrrl'e
GIBSON COUNTY AUDITOR
Fort Branch. IN 47648 Fort Branch.IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO
YES NO CONDITION Y NO GON TONw �
F ❑ 1.Will this property be the buyer's primary 6---- TA ❑ 3.Homes VDT.;
residence? Provide complete address of primary 4.Solar Ene ;�j'..
residence,including county: ❑ �' -I
9066 S 225 W El ig 5.Wind Power Device
Address(Number and Street) ❑ is 6.Hydroelectric Po GD24eZ014
Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ igi B Is this property . •siden I: .- property?
❑ 0 2.Does the buyer have a homestead in Indiana to be 1 —u?rfij,
vacated for this residence? If yes,provide ❑ 0 9.Would yvul_ -•• - i jy-, k'f ,-i for this
complete address of residence being vacated, property via e-mail. •rovlde contact Information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) dY Q /8
.26 - 360 - OO/ Od-d _ 0
—
Ciry,State ZIPCode County
Primary property owner contact name E-mail