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HomeMy WebLinkAboutHomestead_Zeigler (2) I . INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Ray M.Druley Attorney No.4759-26 Prepares 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(ahyahoo.com City,State and ZIP Code Telephone Number E-mail• eE.SEL•LER(S)/GRANTOR(S) == -- - — _ . - . _ I aDonna S Bryce Seller 1-Name as appears an conveyance document Seller 2-Name as appears on conveyance document 503 Cherry Tree I ann Address(Number and Street) Address(Number and Street) Princeton. IN 47670 Under pena es of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a d c pi to as required by,law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". e -0 . S -r_o Signature of Seller Signature of Seller I aDonna S Bryce 9/30/2015 Printed Name of Seller Sian Date(MM/DD/YnY) Printed Name of Seller Sign Date(MM/DD/YYY11 F.BUYER(S)%GRANTEE(S).=APPLICATION*FGR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - conveyance document Buyer 2-Name as appears on conveyance document 1018 E.Taftown Rd 1018 E.Taftown Rd Address(Number and Street) Address(Number and Street) Princeton. IN 47670 Princeton,IN 47670 THA i�e�'LYJI P. ' YES NO CONDITION I YES NO CONDIT N ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead rr,, residence? Provide complete address of primary Li 4.Solar Ene He-atina3doling System residence,including county: ❑ 503 Cherry Tree Lane S.Wind Pow r Device Address(Number and Street) n 121 6.Hydroele -6vice _Princeton. IN 47670 _ _ Gibson ❑ 0 7.G gi� hf hH ��a�(>ti f ling Device City,State ZIPCode County 0 ❑ 2.Does the buyer have a homestead in Indiana to be Li igi 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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. 1018 E.Taftown Rd Not available in all counties.) Address(Number and Street) Princeton, IN 47670 fao " 19-o - 2 03 -6:01 c2'Cf-04 Ciry,State ZlP Code County Primary property owner contact name E-mail