Homestead_Taylor INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2
D.P,REPARER'
Ray M.Druley Attorney No.4759-26
Preparer of the Soles 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 drulevlaw(@yahoo.com
Cl ry,State,and ZIP Code Telephone Number E-mail
iE:SEIL•ER(5)/GRANTOR(SJ - -- - -- -- _ - - - -- '_------.-
John B Fchelbarger Ashley N Echelbarger
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
506 Harding Ave 506 Harding Ave
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a• : : .. : : -.-• : -' •&by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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— t./ if ., a ai)1M12171-1--;.
' Si gi' Signature of elP J
_ �pp
.b7 7� -- .
9/10/2015 Ashley N ECtielbarger E e e 9/10/2015
Printed Name of Seller 1 Sign Date(MM/DD/YYYY) Printed Name of Seller [f jSan Date(MM/DO/vrvq
i.F.BUYER(S)/GRANTEE(S)'-:APPLICATIONFOR PROPERTY_TAX
0 ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead
residence? Provide complete address of primary ❑ IS 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
506 Harding Ave
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County NI El 0 2.Does the buyer have a homestead in Indiana to be ❑1 8. Is this property a residential rental property?
vacated for this residence? If yes,provide in TA 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) /
City,State ZIP Code County 2 6,-/,.i - o f an 3 �a 3 355 oak
Primary property owner contact name E-mail