Homestead_Gendren INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREP'ARER• '
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 druleylaw(Tyahoo.com
City,State,and ZIP Code Telephone Number E-mail
'E.SELLER(S)/GRANTOR(S) :..- : 1 . — -- - - -- --- - ' - -- --- --- -- - - --
Kyle R Garrett
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5123S980W
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp{ e as required by law,and-is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
// Signature S
Signature of Seller H of
Kyle R Garrett 7/8/2015
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYERS)/GRANTEE(S);APPLICATION-FOR PROPERTY-TAX:DEDUCTIONS=IDENTIFY ALL ITEMS-THAT APPLY _ .
Donald R.Gendren
Buyer .-Name as treet on conveyance document Buyer 2-Name as appears on to
901 es State Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47660
YES NO CONDITION I YES NO coNDITIOGlBSON COUNTY AUDITOR
Fl ❑ 1.Will this property be the buyer's primary El ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Igi
5123 S 980 W 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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,provide ❑ SI 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)
alp-I '1.Dy-400_ 000 .5 '7o a t •
City,State ZIP Code County '( (Jt/
Primary property owner contact name E-mail