Homestead_Howard •
INDYANA SALES DISCLOSURE FORM SDF ID: Page 2
`D'P.RgPARER---r -:-r-' - � 4 . a . ;.3 rtfil
Ray M.Druley - Attorney No.4759-26
Preparer of the Sales Disclosure Form Title
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 druleylaw(o)yahoo.com
City,State and ZIP Code Telephone Number Email
rE>SaiLER(S)%GRAN.TOR(S)Y: .1 -r , - A , .•+c.:..3"-. - "rk 71; ;;,":_."+ _ :.x-i
M&S Properties and Contractors I1 C
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
PO Box 43
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
ands plete as r:f ui :au.) . is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Oen
,yt24a ./ -erg -" " -" a • e
ignature of Seller O Signature of Seller
M&S Properties and Contractors LLC 4/5/2017
Printed Name of Seller Sian Date(MM/DD/111Y) Printed Name of Seller Sign Date(MM/DD/YYYY)
ItY BUYEE(S)'/.GRANTEE(S)LAPP..CIGATIONIFORP,ROP.ERTtYgrrO)EDUCTIONSMDENTdEOaITEMSMTATrAP$Pr
Shane Howard
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance do m nt
8976 S 1125 W
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 App'28
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT(
YES NO CONDITION YES NO CONDITION AUnnt)
❑ 1.Will this property be the buyer's primary SI ❑ 3.Homestead R
residence? Provide complete address of primary ❑ Fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑
8976 S 1125 W S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
111 0 2.Does the buyer have a homestead in Indiana to be ❑ TA 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.
Not available in all counties.)
Address(Number and Street)
• 2/o-n -a,9- 100 00,- .S37 °a)
City,State ZIP Code County
• Primary property owner contact name E-mail