Homestead_Lamey (28) X
'INDIANA SALES DISCLOSURE FORM SDF ID Pale 2
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:T PRRPARER I _:,, ..4 r.. h, ! .t 1) w t a . .4.'J h, -S ,g1 v s ::, u s F .
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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
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�E.SE�LE�{5 /GRAN�OES , 1. k, f,:�rrdr i*;',,• [rf,.- .i� .4 ,4 �r y•. �::.lnk).t !nYk. 3_V,i ..� s naOtc"r t � ,y,0�g'"N.
Matthew G.I pmey Katelyn R.Lamey
Seller 1-Name as appears on conveyance document . Seller 2-Name as appears on conveyance document
11904 South 200 Fast 11904 South 200 East
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and I t re ' d bylaw,and is prepared in accordance wit 1 6-1.1-5.5,"Re rop Sales Disclosure Act".
Signature of Seller l/ Signature of Seller
Matthew G. Lamey 12/94/201 R 12/04/19
Printed Name of Seller Sign Date(MM/DD/YYYI2 Printed Name ofSeller Sig rate(MM/DD/YYYY)
_) B,t 'DER'S r:=:GRANTEgtS APP.. i ATI_O&ftgaegik 1''STl1altfit OTIfl IS Iballt1F4Y>A"1;I. aEI T t' ' F _ 5A;_-.- .`r'_.t
Cory A. Lame
BuyerI-Name as appears on conveyance document Buyer 2-Name as appears on conveyancJ3f,me$6 2019
674 E 1200 S
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 r/
City,State,and ZIP Code City,State,and ZIP Code GIBSON COUNTY AUDITOR
E-mail Telephone Number 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 _ ES-Ne ONDITION
Xl ! 1.Will this property be the buyer's primary igig [; 3.Homestea•
residence? Provide complete address of primary ❑ d . o ar nergy Heating/Cooling System
residence,including county: ❑ 2 5.Wind Power Device
11904 South 200 East
Address(Number and Street) ❑ Q✓ 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ ✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ ❑✓ 8.1s this property a residential rental property?
❑ 0 2.Does the buyer have a homestead in Indiana to be
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)
City,StateZlPCode County �
Primary pro er owner contact name E-mail
P CY
Number License/ID/Other Number