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, INDIANA SALES DISCLOSURE FORM SDF,ID:
• eDWREPARER k _� � Page 2
Ray M.Drulev �� 3.�=
•
-Preparer of the Safes Disclosure Form Attorney No.4759-26
Title
• 505 N:Church Street,PO Box 146
Address(Number and Street) Law Office of Ray M. Drulev
Fort Branch, IN 47648 Company
City.State and ZIP Code 812-753-4975 drulevlawevahoo-cam
f - TelephphoneoneNumber
E-mail
' rE'FSE EL°R(S JGRTA`NTOR(SS)
Wallace Wayne Properties I LC
Seller I-Name as appears on conveyance document
Seller 2-Name as appears on conveyance document
1868 W 950 S
Address(Number and Street)
Address(Number and Street)
Fort Branch IN 47648
I
Telephone Number E-mail�^
-
Unde enalties of perj ,1 herees
an complete as re uir byla and es t t in accordance with IC 6-1.1-5.5,sclosure,to the best ""Real Pro my ledge aaled belief,istrue,eAct".correct
`'prepared p rty Sales Disclosure
Signs eofSellerjP�'AI
Signature of Seller
Cynthia K Kiesel Sent.5 2018
Printed Name of Seller -Sign Date(MM(DD/YYf Printed Name
ERT RO
FFTBUYER S' RANLTjEE S•F'jgQpLIG:4TI0N F.0 PtYhTAXjDED.UCTifONS,�'il _ Sian DateWm/Winn
1 T • 1? :Y 'LL',l T TA' , :'4�3",? ir2
Ericka Clodfelter t� I _ -
Buyer l-Name as appears on conveyance document �tf
11 Buyer2-Nome as appears on conveyance
714 Kennedy Dr. / SEP 1 2 Z018 •
Addres(NumberandStreet) /1
Address(Number and Street)
Fort Branch, IN 47648
E-mail
Telephone Number
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. E-mail
YES NO CONDrr10N
YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3. Homestead
residence? Provide complete address of primary
❑ 04.Solar Energy Heating/Cooling System
residence,including county:
800 E Walnut St El 05.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6. Hydroelectric Power Device
Fort Branch, IN 47648 Gibson
Ciry,State ZIP Code Coun ❑ 27.Geothermal Energy Heating/Cooling Device
ry
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 B. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Q 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) 9J (off 1 1e� -C^ (/�Ciry,State 2IP Code County DAL—' 1 - 1 `� -s b1 _ov O . )4 l o 4
Primary