Homestead_Worman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
James E. Shinaver Partner
Preparer of the Sales Disclosure Farm Title
3105 East 98th Street,Suite No. 170 Nelson 8 Frankenberger,P.C.
Address(Number and Street) Company
Indianapolis,IN 46280 317-844-0106
CID',State,and ZIP Code Telephone Number E-mail
E;SEL•LER(S)/GRANTOR(S) 4i :r ." . ..i+ 4sk , t ? -`
Federal Home Loan Mortgage Cornoration 8
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
5000 Plano Parkway
Address(Number and Street) Address(Number and Street)
Carrollton TX 74010
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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Printed Name N c.11n` Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/Do/MY)
-:: IYER(S)7GRANT ' 7APP..LIGATIONFORP.ROP.ERTYiTAX=DEDUCTIONS"IDENTIEYrAL'b;ITEMSTHATAPPLY::'y ti3
Brenda Lee Worman
Buyer I-Name as appears a - eyan e document Buyer 2-Name as appears on conveyance document
!! Lng:Zfi - * (f e
Address(Number and Street) Address(Number and Street)
114u-�.41-a.c -t 1. Ill 4 lea .39
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P:•• - . • - - • OF THOSE THAT APPLY.
YES NO CONDITION YES # NO CONDITION
❑ 1.Will this property be the buyer's primary j3' 2. 3.Homestead ` I. W
residence? Provide complete address of prima 21 III e - e. -u ng/Cooling System
residence,including Co}u7ntyy:
So 54Ct-YL7 9-1'1140e ❑ F/ • . ind Power Device
Address(Number and Stree,tI ��r ❑ Q 6.Hydroelectric Power Device
rx u b S 1& t-f I =�j '11637 C ,eke i ❑ TA 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
® ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 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 -
includinpcounty: below.Please see instructions for more information.
.2 ?oo Je rrctl d !Jr • Not available in al�llccouuntt('p/y.) { /y
Address(Ng�berand Street) '• I t q 3_Q(p 5 mo. QQy +009
IVeLUb r � / Sf� '{7630 County ck rcYlr�L �ge
City,State ZIPCode VV County
Primary property owner contact name Email
Under penalties of perjury,l 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
being led.) \ ✓ 1 /+1
Signature of Buyerl Signature ofBuyer2/Spouse
R(eYlAa Let UMrIno, C - 13
Number License/ID/Other Number
L t-J