HomeMy WebLinkAboutHomestead_FallsINDIANk SALFS�DISCLOSURE FORM SDF ID: Pa e 2
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Rav M. Drulev Attomev No. 4759-26
� Prepure,oftheSalaDisdwureForm Ttle
505 N. Church Street PO Box 146 Law Offce of Rav Druley
Addras (Number and Street) [ampvny
Fort Branch. IN 47648
::E��SEL•I:ER S .GRANTOR S . '�' .�'-.-Y. .mw. �.� � a,qt a-��_y.• � �:a`.N�iis.. s }i,"�tir..�<... '' �r: "s. �1.: -'is, -
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Paul D Gordon S�imcccor Tr�stpe
Seller 1- Name as appmrs on conveyvnre document Seller 2- Name as appeors on ronveynnce dorument
329 F 790 S
Address (Numberand Stree[J qddrgs (Number ond Street)
�ort Branr.h IN 47fi48
E-mail 7ele honeNumber E-mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and mplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Sjgnamre o(Selfer SjgnaNre of5efler
Paul D. 6ordon Succescor Tructee 11I1AI2011
PnntedNameo(Selfer S1anDate xw/UD Prtn[edNameo Sel/er Si nDun wiw o
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?F�BOYER S .GRANTEE S ,"-'APPCIGATION=F,OR�PROP.ERTYTAX�DEDUC�TIONS=:IDENTIPY=ALLdTEMS=THATAPP.LY�; ��� �'' -G=;'
Allan R. Falis Candace A. Fails
Buyei ]- Name as app�rs on ronve}ance davment Buyer 2� Name as oppevrs on ronveyunce document
7936 S 20 E 7936 S 20 E
Address (NUmber and Stree[) Addras (Number md Streef)
Fort Branch. I�V 47648 Fort Branch IN 47648
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E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI,�' DEDUCf10NS FOR THIS PROPERTY. IDEhTIFY ALL OF THOSE THAT APPLY.
YES RO CORDITIOH I YES NO COKDITIOH
Q � 1. Will this property be the buyer's primary Q � 3. Homes[ead
residence? Provide complete address of primary � O 4. Solar Energy Heating/Cooling System
residence, including county:
�04 S Walters ❑ Q✓ S. Wind Power Device
Address(Numberand5treetJ ❑ ❑./ 6. Hydroelectric Power Device
Fort Branch, IN 47648 Gibson � Q 7, Geothermal Energy Heating/Cooling Device
liry, Smte ZlPlode Lounry
� Q✓ 2. Does the buyer have a homestead in Indiana to be � ❑`� 8� �s this proper[y a residential rental proper[y?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive ta�c s[atements for this
complete address of residence being vacated, property via e-mail? (Provide con[act information
induding county: 6elow. Please see instructions for more injarmation.
Not available in all coundes.)
Addras (Number and5veetJ
a�-�q-I� - 303 - oa�. �{.3s-a��
City, Sm[e Z/PCode County
Pnmaryproperryow^erconmc[name E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informatlon, Social Security and Drivers License/Other numbers are not necessary if no Homestead Deduction is
being file`%'Ld� „� l=7� � ll ' y�
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Sfgnamreo(Buyerl �Sjgnaoveo/Buyer2/Spouse
�n R Falls 11/1RIt1 �'�nAore n F�IIc � 11/1R/11
License/lD/OtherNumber Num6er License/ID/OtherNum6er