Homestead_Stout _INDIANA-SALES DISCLOSURE FORM SDF ID: _ Page 2
acre fi.ARTRI. .-_sip-_— ,- T.'<:' _ . i - '-t -4 ,.i ��'-` r•t- .
Ray M.Dailey .
Attorney No.4759-26
Preparer of the Sales Disclosure Form Tide
. 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 Thyahoo.com
City,State,and ZIP Cade Telephone Number E-mail
cE SELLER[VGRTANT,OR(Sr...-.,i t ECE t _577--'7. - :—C :77--7- _A,,i`o '. , 3,.7"737 a v. .`e ,R:.-..zt.*
- _. Scott St Clair Sr -. ( X� E!_
SellerI-Nameos appearsonddniWanceJocvment --"'" Seller 2-Name as appears on conveyance document
7500 Syls Dr
Address(Number and Street) Address(Number and Street)
Fvansville IN 47712
mail Telephone Number E-mail
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature ofSeller
Scott St Clair Sr Sept 17 2018
Printed Name of Seller Sign Date(MM/DD/YYYI) Printed Name o(Seller Sign Date(MM/DD/YYYY)
I BMr:ER(S)(,GRANiTEE(S) •APP,hiGATIONTFQRtEROPERT(YaTAXjDEDLIGTI0NS I DEN 111FYAL1 E S-,TAPP LI ;- • - `-
77.7
79T'
Cody Stout Jessica Stout 1 • g la / i 1
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
526 W Brummitt St. 526 W Brummitt St. CFP 1 9 90j9
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville, IN 47665 .J
E-mail 'fleabane umber t�� E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
E ❑ 1.Will this property be the buyer's primary ✓❑ n 3.Homestead
residence? Provide complete address of primary n ❑ 4.Solar Energy Heating/Cooling System
residence,including county:
526 W Brummitt St ❑ 0S.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6. Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Q 2.Does the buyer have a homestead in Indiana to be Li ❑`/ 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑✓ 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) Z6- 1l-1Z- t02-
-000
. k31 _COZZ
[try,State ZIP Code County
Primary property owner contact name E-mail