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Homestead_Stewart V ,,:NA 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. Dailey Address(Number and Street) Company Fort Branch, IN 47648 812-7534975 drulevlaw[a)yahoo.com City,State,and ZIP Code Telephone Number E-mail iE:SELLER(S)/GRWTOR(S)- - ---- --- - ••- r -- . - - - x -'' _' _:_' _� -x.,•r -: Mark S Arnold Claudette L Arnold Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2195 S 750E 2195 S 750 E Address(Number and Street) Address(Number and Street) Francisco IN 47649 Francisco IN 47649 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and compl as requir -by law,and is prepared in accordance wit C 6-1.1-5.5,"Real Prope Sales Disclosure Act". A-71. FingrePL Signature of Seller Signature of Seller Mark S Arnold Claudette L Arnold Printed Name of Seller Sign Date(MM/OD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) '1FdBUYER(S)/.GRANTEE(S) /APPCICATIONIFOWEROPERTY TAX DEDUCTIONS ADENTIFY AWITEMS THAT;APP, VI , .i.711 Ronald L. Stewart Phyllis A. Stewart Buyer 1-Name r appears on conveyance document Buyer 2-Name as appears on conveyance document 2213 $ 756 k 2 215 5 75O .E- Address(Number and Street) Address(Number and Street) Francisco, IN 47649 Francisco. IN 47649 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 APR 2 2 2015 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead nn q residence? Provide complete address of primary ❑ s 4.Solar Energy Heatin)rY( yu yi- residence,including c unty: ❑ 0 S.Wind Power SON COUNTY^^AUDITOR x-.17 5 7.7G � Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Francisco, IN 47649 Gibson City,State ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device ❑ 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 ❑ 1g 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) Gibson 26- 13 - 2.0 --9OG -o a / 75100Dy City,State ZIP Code County Primary property owner contact name E-mail