Homestead_Thomas (21) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Ray M.Drulev Attorney No.4759-26
Preparer of the Sales Disclosure Form Title
505 N.Church Street,PO Box 146 Law Office of Ray M. Drulev
Address(Number and Street) Company
Fort Branch, IN 47648 812-753-4975 druleylaw(tilyahoo.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) '. . - -- - . , - - -
Judith L Smith
Seller l-Name as appears on cony ce document Seller 2-Name as appears on conveyance document
2.3 5 Kace
Ad ess(Number and Street /, ..r /� Address(Number and Street)
Ci
Under penalties of perjury;I hereby certify that this Sales Disciosure,-to the best of my knowledge and belief,is true,correct
and lete as require�d by
ww,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
,
Signature of Seller Signature of Seller
Judith L Smith Oct 1 2018
Printed Name of Seller Sion Date(MM/DD/YYYY) Printed Name of Seller n (MM/DD/YYYY)
F.BUYER(S�/GRANTEE(S)=APPLICATIONi FOR PROPERTY TAXiDEDUCTIONS-IDENTIFY ALL 1 gE1aSIH T' E --
conveyonc ocum nt Buyer 2-Name as appears on conveyance ter L U
er3 g010
I9S.3 C) 0-er L�, e Boat UUII
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 _ISD_CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary , Q ❑� 3. Homestea
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residence? Provide complete address of primary n 4.Solar Energy Heating/Cooling System
residence,including county:
1009E Water Si ❑ ElS.Wind Power Device
Address(Number and Street) ❑ n 6.Hydroelectric Power Device
Princeton IN 47670 Gibson n-- 0 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
❑ 02.Does the buyer have a homestead in Indiana to be ❑ ❑� 8.Is this property a residential rental property?
vacated for this residence? If yes,provide n 09.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)
dG —. /2 -08 -30/-00o ../eq -0d-8
City,State ZIP Code County
Primary property owner contact name E-mail