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HomeMy WebLinkAboutHomestead_Langston • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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. Drulev Address(Number and Street) Company Fort Branch, IN 47648 812-753-4975 druleylaw(o)yahoo.com City,State,and ZIP Code Telephone Number E-mail 'E SELLERS)/GRANTOR(S)__.-- - - - - _ - .. - - . - - - .. •Brandi M Caudill Seller I-Name as appears on conveyance document Seiler 2-Name as appears on conveyance document 901 Wintemheimer Road Address(Number and Street) Address(Number and Street) Wadesville IN 47618 Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ^-9L `(LI `Q/) Signature of Seller Signature of Seller Brandi M Caudill Sent 15 2014 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date 0414/00/1117) .F.BUYER(S)/GRANTEE(S)=APPLICATION-FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS TIIAT APPLY __ __ _ Nicole Langston Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1214 S.Seminary Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T , AP YES NO CONDITION I + rNDITIO. 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Horn. KW 5 2014 residence? Provide complete address of primary igi 4.Solar Energy Heating/Cooling System residence,including county: ❑ f 5.Wind Power Device J)0 7Pilt - 1214 S Seminary Street Address(Number and Street) ❑ Fl 6. HydroelectriPEIMIN)f iADidNTY AUDITOR Princeton, IN 47670 Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ is 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 information. Not available in all counties.) Address(Number and Street) ;�aS a �- ►a- ii --ao mil_- 3. a City,State ZIP Code County Primary property owner contact name E-mail