Homestead_Mayer (12) INDIANA SALES DISCLOSURE FORM SDF ID: . Page 2
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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. Druley
Address(Number and Street).. Company
Fort Branch,IN 47648 812-753-4975 druleylaw(aayahoo.com
Ciry.State,and ZIPCode . Telephone Number E-mail
-.,SELLER(S)`/.GRANTOR(S)L__'__—. _ _:= –?a,< _ ;c �-.-c:,t '77.71,117;117.7.:1 -
- Michael J Mayer - Rebecca A Mayer -
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
- '9211 S 150W 9211S 150W
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort BranchiN 47648 - . -
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and compl to as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".67/7
Ad l gCrcX OL �� �
Signature dfSeller Signature of Seller t
Michael J. Mover l Rebecca A Mater
Printed Name of Selle - : ' iqn Date(MM/DD/YYYY) Printed Name of Seller _°_. . iqn Date(MM/DD/YYYY) ..
FF::BUYER(S)/GRANTEE(S)wIAPPLICATIONF0 ..PROP.ERTY!TAX(DEDUCTI0NS°IDENT;IFYALL.ITEMSTHAT(APPL'Y`
Steven A.Mayer Justine Mayer • sp���` - -
Buyer I-Name as appears on Conveyance document Buyer 2-Name as appears on conveyance documerY i' Y,
• 9066S225W - . 9066S225W ���CCC �J(J-
Addreis(Number and Street) Address(Number and Street)
.
THE SALES DISCLOSURE FORM MAY DE USED TO APPI.YFORCERTA IN DEDULTIONS FOR TIIIS PROPERTY. I DFYTIFY ALL OFTII ask TR.(1-. 1��y�
YES NO .CONDITION - • YES N0 CONDITION 1 ,,, , - .
0 ❑ 1.Will this property be the buyer's primary NI ❑ 3.Homestead - (1(0/7,
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System •
residence,including county:
❑ Is 5,Wind.Power Device
-9066 S225 W- ' • - •
- Address(Number and Street) ' ❑ •® 6.Hydroelectric Power Device
FortBranch,IN 47648 . Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City;State ZIP Code County
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 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)
. 2/0-/S • 26)-306001 oaOoaS
Ciry,StateZIP Code County
.Primary property owner contact name - _ E-mail