Homestead_Glover (5)FORM
✓cav M. Drufev Attomey No. 4759-26
PreparooJNeSafaDBdosurcForm Tt/e
Law Office of Rav M. Drulev
Company
Fort Branch. IN 47648
Dannv R Franch I Jennifer J. French
Shce� 1� Name as appenrs on canveyvnre donrment Seller 2- Name as appears on conveyonce docummt
7356 W. 1000 S 735R W 1000 S
Address(NUmberand5treet) qddras(NumberandSbrer)
�,ynthiana IN 47612
Ciry, SmtG andLP lode
E-mutl
Under penal[ies of perjury,L�ereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
an�mp�ete as requir�d'by law�and is prepared in accordance with,lC 6-1.1-5.�, "Real_Property Sales Disclosure Ad".
FOR CERTAI.Y DEDUCf10Y5 FOR THIS
Q � 1. Will this property be the buyer's primary
residence? Provide comple[e address of �
residence, including county:
Addras(Numberond5beet)
Cvnthiana. IN 47612 Gibson
City,Smte Code County
� � 2. Does [he buyer have a homestead in Indiana [o be
vacated for [his residence? If yes, provide
mmplete address of residence being vacated,
intluding county:
Addrest (A'umber and Stre¢t)
City, SmreTJP Lade Counry
Bv}v 2- Name as oppears om m�veyvnce do[vment
Addrgs (Num6er and StreetJ
Ciry, SW [e, and LPCode
APPLY.
Q � 3. Homestead
�_� a 4 � � eating/Cooling System
� Q 5. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ ❑✓ 7. Geothermal Energy Heating/Cooling Device
� Q 8. Is this property a residenrial rental property?
� Q✓ 9. Would you like [o receive tax statements for [his
proper[y via e-mail? (Provide contact information
6elow. Please see instrucdons for more informa[ion.
Not available in al! caunties.)
o�� - /%.��a�0o - �10/. J�aa --Q�/
owner ronruct nome
E-mvil
Under penalties of perjury, I hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1•5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Drivets License/Other numbers are not necessary if no Homestead Deduction is
pqing filed.) -, -
Signaare
,Pn'
Las[SdigitrojBuyer7Driver's Smte Las[SDigirsdf5ocialSecuriryNum6er
Licente/!D/Other Num6er
Signamre a(BvyerT/Spouse
PnntedLegvlNameo(Bvyu2/Spouse 5(qnDate(Hw/�0/YYY1j
Las[Sdigiao/Buyerl/SpouseDriver's Srnre Las[SDigiCSO�SocialSecunty
Number License/ID/OfherNum6er