Homestead_Walker {
INDIANA SALES DISCLOSURE FORM - •i. . . .SDF ID: _ . • .. . .Page 2
t RPARERae ys }- :a-s 1..*: 1%,:,::., x. - .:. ,�,i A,.s '_. .' -4'' r.,
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. Dailey
Address(Number and Street) , Cdthpany
Fort Branch, IN 47648 812-753-4975 drulevlaw(Wyahoo.com
CityState.and ZIP Code ' Telephone Number -
E-mail
E ELEaff(S)'(,GRANT,OR(S)W . i's,"_ ---•=: 'I',"r$":- . . I xt; "-"•'.7.77:7:777r.-5
_Scott St Clair' Sr
Seller 1 -Name as appears an conveyance document Seller 2-Name as appears on conveyance document
•. 7500 SylR Or - • .
Address(Number dad Street) - Address(Number and Street)
.EvansvilletlN i47712 - .
'
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and b elief,is true,correct
and taco- to as required y law,and i prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
� y �-- _
7Stiture of Seller Signature ofSiller •
;Srbttst'•Clair•Sr - And" 2017 • -. .
.::Printed NaineofSellen '•r::t,.. _ _ The.-�f. Sign sa[e(MM/DD/YYn) .:. .__Printed NoheofSeller�• 2.) '.:-.-45 It. -Sion Date(MM/DD/Yrrrj':.c
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LE�BUYER(S)/GRANTEE(S)SAP:P,LICATIONtF,IIRPROP,ERTeYtTAXfDEDUCTI0NSa1DENTIFeYtALariITEMSTHATfAPPLrYT' ..�`'z. 7--
-Faith Walker • - , i - - --- - Angel Wolf '
Buyer'll Name eas appears on conveyance document . - Buyer2 ,Varneasappears on conveyance.ee • ' - s -
5896'W 600 S . ' . 5896 W.600 S -_ _: - �'.-.
Addrrss(Number and Street) - Address(Number and Street) ��
-
Owense
THE SALES DISCLOSURE FORM MAY HE USED TO_APPLY FOR CERTAIN DEDUCTIONS FOa THIS PROPERTY.-IDENTIFY-ALL OF9&isE LY
YES NO CONDITION e . - . I YES 'NO CONDITION y LN>, t ".
.
' 151 Q 1 Will this property be'the.buyer's primary 0 E 3.Homestead C/p/
• residence? Provide complete address of primary.- .0 112 4-Solar-Energy Heating/Cooling4,stem .
residence,including county: -
t Q S Wirid Power Device . ' -
. 5896W600S • t • t?e• _ , -
•Address(Number and Street)', - - 0 ® 6.Hydroelectric Power Device,' .
•Owensville,�IN47565. + . - - Gibson 0 ® 7 Geothermal Energ'Heating/Cooling Device; .
'Gry,State zip - . - -Ca6nry' .. _ - ;.
'} - - 0 •' ® 8.Is this property a residential rental property
Q ® 2 Does the buyer have a homestead in Indiana to be (� _ - -
. vacated for this residence? If yes,provide I 1 0 9.Would you like to receive statements for-this
complete address of residence being vacated, property via e-mail?(Provide contact information
below.Please see instructions for more in ormation-
iridudingcounty: f f .
Not available in all counties) -.
Address(Number and Street) •
• 2 (0-18 -/7-02oc co5l7/O Oa-/
City State ZIP Code County - -•
_ _ - Primary property owner contact name - _ -•_ m
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