Homestead_Sollman (15) 1 4
1� 1
, INDIANA SALES DISCLOSURE FORM SDF ID: - - Page 2
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(a)yahoo.com
• - City,State,and ZIP Code Telephone Number E-mail
' (E E LE (S%GANTOR(S) - - . - 7 _ 7--- _ _ 7, -7-r, _--T,-7777 ,
Donald Glenn Sollman Marilyn Sollman
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10115 S Partridge Ave 10115 S Partridge Ave
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
and complete as required by aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro erty Sales Disclosure Act".
iea, /� l y�d-41,10
,?/
Signature of Seller nature ofSeller
Donald Glenn Sollman ((I 1 /2017 _MS Sollman /2017 -
. Printed Name ofSeller ., Sian Date(MM/DD/YYYY) Punted Name al-Seller . • Date(MM/DD/YYYV)
i BUYER(S)%GRANTEE(S.ffAPPHFe-ATION-FFOR'-P:ROPERiriL MAX WEDUGTIONSaIDENTIFY(ACL'lITEMS4 T rsg 'f -1
Trent L;Sollman Samantha L.Sollman •
' Buyer!-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
793E 1200 S 793E 1200 S U0(!1
Address(Number and Street) Address(Number and Street) ' J
Q
Haubstadt, IN
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. OfT0R
YES NO CONDITION I YES NO CONDITION
MI ❑ 1.Will this property be the buyer's primary TA ❑ 3.Homestead
residence? Provide complete address of primary El 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ig
793 E 1200 S 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson El 0 7.Geothermal Energy Heating/Cooling Device
City,State Z/PCode County
[1] 12 2.Does the buyer have a homestead in Indiana to be El 151 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ TA 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 mare information.
Not available in all counties.)
Address(Number and Sweet) A-di/?-/C20l00. 9.36- 07 SE
City,State ZIPCode County
Primary property owner contact name E-mail
- ,A