HomeMy WebLinkAboutHomestead_Kirkwood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Ray M. Druley Attorney No.4759-26
Prepdrer of the Sales Disclosure Form Title
1
505 N.Church Street, PO Box 146 Law Office of Ray M. Druley
Address(Number and Street) Company
Fort Branch, IN 47648 I 812-753-4975 druleylaw(dyahoo.com
Ciry,State,and ZIP Code Telephone Number E-mail
•
DEL ER .GRANTORgM.' .-M Or'fC :7'
Karin D Bruckert Trustee Randolph R Oing Trustee
Seller]-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10195 Groomsbridge Road 1278 Cedar Wood Way
Address(Number and Street) Address(Number and Street)
Alpharetta GA 30022 Uniontown OH 44685
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 requireedd by law,and is pre.ared in accordance with 6-1. .' "tea roperty Sales Disclosure Act".
Sign• re opener Signature of Seller
Kahn D Bruckert Trustee 4/21/2017 Randolph R.Oing Trustee 4/21/17
Printed Name of Seller- Sign Date(MM/Da/YYYY) Printed Name of Seller Sign Date(KM/DD/YYYYJ
PRBUYER(S)%GRANTEE(S),a,APPEICATioliiEORieROPERTrY TA M EDUGT,IONSviDEN;IMFYP'ilWITiEMSLTHATrAPP,hYL
Christopher T.Kirkwood Holly M.Kirkwood
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on cone once document
1 o3 r-.�,,r 1 H'i 6/ vi/, Ph '703 (beet H ; ll W, Pr,
Address(Nu ber an Stree �I Address(Number and Stre ) IT
IV
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
El ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead 4p4,
residence? Provide complete address of primary ❑ 0 4.Solar Energydeatin_/ .oling S e f/J
residence,including county: /
❑ Q S.Wind Power DI •
501 S.Hillcrest 4r, • �
Address(Number and Street) ❑ 0 .6.Hydroelectric Power a ; -3)-.:
Fort Branch, IN 47648 Gibson l e
❑ 0 7.Geothermal Energy Heating/�op ' Device
iCi State ZIP Code County
w 2.Does the buyer have a homestead in Indiana to be n 0 8.Is this property a residential renta jerty?
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 c unty: below.Please see instructions for more information.
X 03 c and tre t� ; (/ wt i7 r.
Not available in all counties.) I
Address(Nup her anBStre� t L
�in dip' 0a po115 ) TN £i12 /'T oZ- /9-/ -/ ?- 000.s99- od4
Ciry,State ZIP Co& County
Primary property owner contact name E-mail
.