Homestead_Arendell Jr INDIANA SALES DISCLOSURE FORM SDF ID: Paget
D'.'PREPARERT- ?It a W.:-Wt:-: u '__ *3:. F 7 F r ss re./:sx` a>_»4�°fa.
Ray M. Drulev Attorney No.4759-26
Preparer of the Sales Disclosure Form Tale
505 N.Church Street, PO Box 146 Law Office of Ray M.Drulev
Address(Number and Street) Company
Fort Branch,IN 47648 812-753-4975 drulevlaw(a)vahoo.com
City,State.and ZIPCode Telephone Number E-mail
IF.55EtiliER(S)/GRANTOR(5)�#._�.`�'"" . - rF.'.. w ,�'.:.,�-r -... ,;-.•. 'e-:• .. .:5. . .
Trisha Arendell
Seller I-Name as appears on conveyance document .Seller 2-Name as appears on conveyance document
224 W Morton St
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
a complete i s r uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller _taMj"J
l Signature of Seller
Trisha Arendell t' /c f t( 0 2JO1IGfV AINf1OD NOS810
Printed Same of Seller Stan Date(.4L/DD(fTe) Printed,9ome of Seller ti(D'—W1 • Sian Doe Dtsimomlm
F.BUYER(S)`/GRANTEE(S)"..ARPLICATION.F0R•PROPERTY'TAX DEDUCTIONS=IDENTIF AfTEM 'THAT. 1ELY-w `° '.
Thomas Arendell Jr. Ml(17 d u en 7 (�QN
Buyer I•Namecs appears on conveyance document Buyer 2-Name as appears on core
223 W.Morton St.
Address(Number and Street) Address(Number and Sere r r
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTION 11 ERTY. IIIE.N LL OF THOSE.THAT APPLY.
YES ND CONDITION YES NO CONDITION
0 ❑ 1.Will this property he the buyer's primary ( 0 ❑ 1 homestead
residence? Provide complete address of primary u U 4.Solar EnerR'Ileating/Cooling System
residence,including county: ❑
773 VV Moron St S.Wind Power Device
Address(Number and Street) ❑ Q 6.hydroelectric Power Device
Fort Branch, IN 47648 6+b9 0 7,Geothermal Energy Heating/Cooling Device
City,State ZIP Cade County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property?
vacated for this residence? If yes.provide ❑ is 9.Would you like to receive LDS 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) {.��' 4 18 _^'1 o /' DO` (3/ t 7
Gibson JC t�, U
City,State ZIP Code Comity
Primary property owner rummer none Eneit