Homestead_MilburnINDIANA SALFS DISCLOSURE FORM SDF ID: Pa e 2
6p:.P,R6PARER� .t'.'='1''1'�^�S�-,"`.i..:"s.��'.n�5�T �' a`;�tis.ur!-�-'.. r +, rt�,� �`} °r' +s".l!� A.-�. �.1 '"�."" -i,='
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Rav M. Drutev Attomey No. 4759-26
Preporu o(Ne Sal� Disdasure Fortn Ti4e
-OS N. Church Street Law Office of Rav M. Drulev
Addras(Numberand5treet) Company
Fort Branch. IN 47648
i�fi!SEL'L'6R S�.GRAN7'OR S s"'--Jr'�"-��—':,..,'�c?`�'°�.`''i�� �",.£rl%�s`� �'.+—. "'�.'�--".�nxa.rF:-�'2 z%i�'t:y�'��s:i�;�s:a.£?��"k�.:�.� :� x:�e���>:",�_:
Ray M_ Druiey_ Personal Rep. .lasnn M. SninAler. Personal Ren.
Seller ]- A'ame as appmrs m tanvryvnm documm[ Seller 2- Nome us appenrs om m�veyvnce dxvmen[
505 N. Churr.h Street 302 N. PrincP Street
Addrgs (Num6er and Sveet) Addras (NUmber and SveeQ
_Fort Branch.IN 4764A PrinePtnn.IN 47R70
Liry, State, andLP lode Ciry, Smtq andTJPCode
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E-mail Tele honeNumber E-mail
Under penalties of perjury, i hereby certify that this Sales Disclosure, to the best of my knowled and belief, is [rue, correct
and com lete as •equired by law, a� is pre ared in accordance with IC 6-1.1-5.5, " Prop Sales Disclosure Act".
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Signat reo( e r / ^ 5" n o(Seller %�..../
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,E3BU GRi1NTEE S � AP,P.I:LCATIONiFOR'PROP.ERTYaTAX'DEDUCTIONS"PIDENTIFYALLwITEMSeTHATiAP,P.IiY�.'��'z +v�:?��;
Vickeri Jane Milbum
Buyerl-Namemay rso� vewnce� men�� � Buyer2-Nomeasappearsoncanveyvnmdocumen[
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Addras (NumberanOStreetJ Address (Number and Street)
Fort Branch IN 47648
Ciry.Smte, and ZIP Lode liry, Smte, and7JPCade
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Tele haneNumWi E-mail Tele haneNumber Email
TNE SALFS UISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEDURIOYS FOR THIS PROPERTY. IDENfIFY ALL OF THOSE THAT APPLY.
YFS NO CO\URIOY YES
�✓ � 1. Will this proper[y be the buyer's primary ✓ ❑ 3. Homestead
residence? Provide complete address of primary � 4. Solar Energy Heati ling System
residence, including county:
7n5 F Go�th StrPrt ❑ ❑✓ 5. Wind Power Device
Addras(Numberand5treet] ❑ ❑✓ 6. Hydroelectric Power Device
Fort Brench. IN 47648 Gibson � Q 7. Geo[hermal Energy Heating/Cooling Device
City.SmteZlPCode Counry
Q � 2. Does [he buyer have a homestead in Indiana [o be � ❑� 8• �s this property a residential rental proper[y?
vacated for [his residence? If yes, provide ❑ ❑✓ 9. Would you like to receive [ax sta[ements for this
complete address of residence being vacated, property via e-mail? (Provide contact in%rmadon
including county: below. Please see inscrucdons for more information.
302 W. Williams Not availa6/e in all counties.)
Addras (Number and 5bret)
FoA Branch IN 47648 Gibson �� _/�- Z C� _�y-GZ'JG' ,.S�Fl-Qo'2 G,
lity, Smre ZIPCode Counry
Rimaryproperty owner conmct name E-mvll
Under penal[ies of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complece as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
be'ng filed.) �
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LastSdigitsafBuyerlDriver"s Smte LostSDigiGSO/SocialSecuriryNum6er LastSdigi6o�Buyer2/SpouseDnveri Smte LastSDigicso(Socia(Security
License/ID/OrherNumber Num6er License/lD/OtherNum6er