Homestead_Reising (4)INDIANA SAI,ES DISCLOSURE FORM SDF ID: Page 2
D. PREFAB R 1F
PZav M. Druley Attorney No. 4759 -26
Preparer ofthe Sales Disclosure Form Title
05 N. Church Street, PO Box 146 Law Office of Ray M. Drulev
ddress (Number and Street)
E -mail
E. SELLERS GRANTOR S - 4
Alfred G Reisino Jr Surcessor TmMee
Seller 1 - Name as appears on conveyance document
7501 Great House Rd
Seller Z - Name as appears on conveyance document
' Address (Number and Street)
New Harmony IN 47631
Address (Number and Street)
E -mail I
Telephone Number 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 complete as requi If by law, and is prepared in accordance with IC 6- 1.1 -5.S, "Real Property Sales Disclosure Act ".
n
AO J/ /l /I9 A 7/272 1
�S�gn re of s9e, Signature of Seller
Clfreri r: Reisiog -,,It S iccessor TmGtee ocud12010
Printed Name of Seller S' nOate KM a Printed Name o Seller Sin Date MM D
F. G S - APPLIGATION;FORPROPERTY'TAX D TIFY ALL ITEMS THAT APPLY-,
Patrick M. Reisin
Cathy A. Raising
Buyerl- A'amemappearsoncon- amedocument
Buyer 2 -Name as appears conveyance document
6
ress(Numberand Street)
Address (Number and Street)
Fort Branch IN 47648
Fort Branch IN 47648
E -mail
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAINDEDUCTIO , THIS RTY. IDENTIFY AL THOSETHATAPPLY.
YES NO CONDITION YES NO CONDITION
✓ F1 1. Will this property be the buyer's primary
❑
Q ❑ 3. Homeste
residence? Provide complete address of primary
nergy Heating /Cooling System
residence, including county:
❑ ❑ S. Wind Power Device
6448',; 700 E
❑ ❑✓ 6. Hydroelectric Power Device
Address (Number and Street)
Fort Branch IN 47648 Gibson
❑ ❑✓ 7. Geothermal Energy Heatng /Cooling Device
❑ ❑ 8. Is this property a residential rental property?
Ci ,Stale ZlPCode County
U 2. Does the buyer have a homestead in Indiana to be
❑ ❑✓ 9. Would you like to receive tax contact nfo for this
vacated for this residence? If yes, provide
via e-mail? (Provide contact information
complete address of residence being vacated,
property
below. Please see instructions for more information.
including County:
�, �� D
Not available in all counties.)
n
�6 —,r-/O 6 9e &rto aQO. 000 �/
Adu�randS eel)
��_ - -V_ C unry
iry State ZIP Code
primary property owner contact name 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 complete as required by law, and is prepared in accordance with IC 6- 1.1.5.5, "Real Property Sales Disclosure Act (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
bei ed.)) /
'Yi
Signature of Buyer 7 nature of Spo se
-trick a Reis' g 09 /09010 arnYA R i ing Date(M9010