HomeMy WebLinkAboutHomestead_Delong (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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. Druley
Address(Number and Street) Company
Fort Branch, IN 47648
E.SELLERIS)/GRANTOR(S)_ - .- _ ,: :. ;z -.3 .,
Scott St. Clair,Sr _ Kathryn St. Clair
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7500 Syls Dr. 7500 Syls Dr.
Address(Number and Street) Address(Number and Street)
Fvansville. IN 47712 Fvansville. IN 47712
City,State,and ZIP Code City,State,and ZIP Code
knowledge and belief,is true,correct
and co plete as requir la r and is pr ared in accordance with 1C 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Sign t ignatureofSe er•
&.ta► I t. .ir 10/17/19
Printed Name of Seller. St, ate(MM/DD/YYYY) 'rin ted Name of Seller Sign Date(MM/DD/YYYY)
F:BIJYER(S)%GRANTEE(S):-APPLICATION_FORPR RTY TAX DEDU TIONS r;IDE`NTIFY ALL ITEM :fis ' 1'., Y '
Lori DeLong eri-,aetvng
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
401 W. Brummitt ^�� �^ �L+
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Address(Number and Street) Address(Number and Street)
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Owensville, IN 47665 ?�19
CERTAIN DEDUCTIONS FORTH OPERTY. IDENTIFY ALL OF THOSE THAT UO/�
Y a NO CONDITION YES NO CONDITION OR
❑✓ is property be the buyer's primary ✓❑ n 3.Homestead
residence? Provide complete address of p imary ❑ ✓❑ 4.Solar Energy Heating/Cooling Sys
residence,including county:
401 W.Brummitt ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) c ower Device
Owensville. IN 47665 Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
n n 2.Does the buyer have a homestead in Indiana to be
❑ ❑✓ 8.1 ' I rental property?
vacated for this residence? If yes,provide - gi 9 Wn„ld you like to receive tax statem for this
complete address of residence being vacated, property via e-mai . tact inform ' n
cludin ¢ 11ie'sc(Nunther and Strut)
I 6: au) - t`l-- Q - a 01-000-. t-tS-C)QQ.
City,State PCo e County
Primary property owner contact name E-mail
Number License/ID/Other Number