Homestead_ZiliakINDIANA SALES DISCI,OSURE FOIiIV[ SDP ID SDO ID 1394597 . Page 2
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MarYH Beck REO Department '
Pre)winrof the Snles DLsr.loavro Forrtt TIUv
41 E. UVeshington St #400 Doyle Leqal Corporadon, P.C.
Address[NumberanASG�eot) Company
Indianapdis, IN 46204-
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Federal Home Loan Mortgage Corporation
SeNcr 1• Nnme os ap�urr mr rofrveyrrnce Jocumunt Se!(er 2- Nvme n�s oppen�s oir crmveyonce documeuG
5000 Plano Parkway
Addrrss [Numhsr and Su•eetJ Addrexs (NumLer and 5d•eet)
Carrollton, TX 75010-
�-ma(1 7:aic orwNumb�r F.•mni/
Under p�t�C�i.�tl ,�� �fes Disclosure, to the best of my knowl�edge and b,elief, is true, correct
and compi� f�l4i�l�d � p e accordanCe wlth IC 6-1,1•5.5, "Real Property Sales Disclosure Act".
Signature o%Shcer Slpnap�re c�jSeiJer
I-�7�1'
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� ��1X�R�S `:��.tAN =�E 5_ ^-A��PLt�ATC�N:f?i�RP_ltQ�;�RTY-.T� U�:P �7'IEINS�-X �. < F1'- _ � I�'E�/f�'1�I-�flT=_.:. p�:X. ;:' . `
Jennifer L Zilisk
BiUrer f- Nome nr oppenrs on cnnveyunce doeement Uuyer 1• Namv as npl�eu�s ai carvaynnce documen t
6666 W Evening Song Lane
Addxrss (Nwnber urtd StreeC) Address (Nr�mber m�d Str•eet)
Owensvltle, iN 47665-
C!{y, Stnte, and '
Tsl ne NurnLer R•���nt!
TH4 SALES D[SCLOSURB FORM MAY BE US13D TO APNLY FO[i CSRTAIN DBDOCTfONS FOA Tll[S PROPSRTY. IAENTIFY ALL OC 7'HOSH THAT AI'PLY.
YES NO COND1T10N YfiS NO CUND1770N
XQ [,] 1. Will this ,property be the huyer's primary ~�] ' 3. Hnmestead
residence7 Provide wmplete address of �rimary �� 4. SoIar Energy H.�ating/CoolTng System
r.esidence, includhig county;
6668 W EVENING SON� LANE ❑ Q 5. Wfnd Power Aevlce
Addre.u(N��mberm�dStrent) ❑ c0 6.HydroelectrlcPowernevlce
Owensville, IN 47665 ��i�$Gr� � cE] ry. �eothermal Ener�y Hearing/Cooling Device
C1ty, State 21P f,ode Cannty
��] 2. Does the buyer have a homestead in Indiana to be �� g� �s this property a residential rental property?
vacated for this residence? lf yes, provide ❑ Q�• W�uld you like to rece3ve tax statements for this
complete address of resltience being vacated, praperty via e-mall? (Pravtde contact informatton
including county: betow, Please see instructfons far more informatfon.
Not avarlabf.e trt al! courtt�es.)
Addrass (Nmnber and.StreetJ
a �-� �-o � -ZOO . � �. � 7 �"-oa �
Clfy,$mteZlPCode Cnunfy � .._...._.
Prin�arynroparFyuwnarcantnctrTVma fi-mai!
Under penalties af perjuiy, I hereby certify that this Sales DiscTosure, to the best of my knowledge and belieF, is true, currect
and camplete as required by law, and is prepared In accordance with IC 6-1.1•5.5, "Real Property Sales Dtsclosure AcY'. [Nate:
Spouse information, Socfal5ecu��ity and Driver's Ltcense jOther numbers are not necessary iFao liomestead Deduction is
b g filed.)
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nature o/'fluyerl Signak�ro of Ili{ya2/Spousa
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itsajSociaTSecurityNan:ber l.ast�dl�itsojRuyer2/Spausearivar's State LastSR�gltso/'SaialSecurity
Llcerrse/TD/OkherNumber Nwnher l:fcense%1D/OtherNumber
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