Homestead_Weber (16) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
fREPARER;-T ,i y., m.;s '� t� ,; - -a'`. '"�`' -- z.'S;T2--i:.a.9•-:
Ray M. Drulev Attorney No.4759-26
Preparer of the Sales Disclosure Form Tide
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(a)yahoo.com
City,State and ZIP Code Telephone Number E-mail
2E'°°SELL'ER[SV GRANTOR(S)F-'-` .. = ;."."__"' 7"r'.. . •-"''.'•t'r- .., _.�"o ^';' -T' —^•";t -„ e
+;e
Marianne Lingis
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
902 Mohawk Or
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 complete as required by law, :n t ' prepared in accordance with IC'6-1.1-5.5,"Real Property Sales Disclosure Act".
/ r
_ .te—./_-a2 rw. _.LV
9gnature• Seller Signature of Seller
Marianne Lingis 8/1/2016
Printed Name of Seller Sign Date(MM/Do/Ml) Printed Name of Seller Sign Date(MM/oD/YYY1)
zrEfBUYER(SV R-ANTES(S)WAP,Pti1CATI0NfF,0R PROPERTY&TAX:.DEDUC-TIONS '•IDENTIFY/'AL'L.ITEMS>TH'AT?APP.LYr 111-er
James Don Weber.Trustee Monica Ann Weber.Trustee
Buyer 1-Name as appears on conveyance document Buyer Z-Name as appears on conveyance document
305 W.Walnut SL 301 W.Walnut St.
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATAPItY.
YES NO CONDITION I YES NO CONDITION //''l1 VV(0
N ❑ 1.Will this property be the buyer's primary N ❑ 3.Homest&d 2016
residence? Provide complete address of primary ❑ 0 4.Solar Eneb434T in System
residence,including county: ❑ N 5.Wind Power DeviceeU, 7-
902 Mohawk Dr Yq
Address(Number and Street) ❑ 6.Hydroelectric Power Device VO/TO
Fort Branch, IN 47648 Gibson ❑ N 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
Q ❑ 2.Does the buyer have a homestead in Indiana to be ❑ N B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ N 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.
305 W.Walnut Street Not available in all counties.)
Address(Number and Street)
Fort Branch, IN 47648 Gibson 2t,_/9_/$- 10 1- o. / oo7Qa.6
City,State ZIP Code County
Primary property owner contact name E-mail