Homestead_Hargis ` 4
INDIANA SALES DISCLOSURE FORM SDF ID: Pa:e 2
D.PREPARER_, : — _ . — ,
Rev M.Druley Attorney No.4759-26 1
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.SELL T
ER(S)/GRAN OR(SL. ..
Michael R Crabtree Nancy D. Crabtree
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5395SSR165 5395SSR165
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville. IN 47665
City,State,and ZIP Code City,State,and ZIP Code
E-mail
I
Under penalti s of perjury,I he by certi that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ,
and co pl e s ' ed by ,an repared in accordanc wit C 6-1.1-5.5,"Real P perty Sa s Disclosure Act". j
P
S' ature a Si nature ofSelleo
Michael R.Crabtree - Feb. 6 2020 Nancy D. Crabtree Feb.6 2020
Printed Name o Seller Sign Date(MM,DD/YYYY) Printed Name of Seller _ Sign Irate(MM/DD/YYYY)
-P.BUYER(S)/GRANTEE S .-APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY-ALL TI AT PPLl'. . \_
Sheila Ann Har iss
son conveyance document Buyer 2-Name as appears on conveyance document
5992 S SR 165 FEB 7 2020
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
City,State,and ZIP Code �
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
2 ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead—)
residence? Provide complete address of primary 0 ❑ 4.Solar Energy Heating/Cooling System
residence,including county:
❑ 0 5.Wind Power Device-
5_992SSR165
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device i
Owensville,IN 47665 Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El ❑✓ 2.Does the buyer have a homestead in Indiana to be 0 2 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 ❑✓ 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) q
g .. / 7 -09- oZ00 -000. $ .7./-04 /
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/lD%Other Number