HomeMy WebLinkAboutHomestead_Speicher INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
-D.PREPARER-°tit;aeg:kt-aA?f+a.` '-.W$` ' At-*5;skit;.t.a ba`S.g Salt..=i:raI ._`t' , a-. -: -3-..f •SI^- I_zj
James A.Lyons III Title Officer
Preparer of the Sales Disclosure Form Tide
50 S.Meridian Street Suite 600 Escrow&Title Services,LLC
Address(Number and Street) Company
Indianapolis,IN 46204 (317)681-6090
City,State,and ZIP Code Telephone Number E-mail
iE SELLER(SVGRANTOR[S)s carekta i nta -t :P.Pa "# g. F` _'tr s�tti,- 7a.: --.iii=*ms's lk itici
Household Finance Comoration III
S ell erI-Name as appears on conveyance document Seller2-Name as appears on conveyance document
911 Corporate Center Or .
Address(Number and Sweet) Address(Number and Street)
Pomona CA 91768
Telephone Number E-mail
Und: penalties • perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an• complete !required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
-"s.
ideldandAsst Seaetaty IUN 2 4 signature of Seller
4tra*e SH ces Division a 2��3
Printed Name of Seller Sign Date(M Al/DO/YYYY) Printed Name of Seller Sign Date{MM/DD/YYYY)
iP BUYERS)/GRANTEE(S)', {APPLIGATIONT ORPROPERTY-TAXiDEDUCT10NSPIDENTIFY,` ELATEMS;THATAPPLY. '
Chad E.Speicher Dee Cee B. Speicher
.nveyanced mm[ Buyer 2-same as appears sw conveys document
(1210 - . 50 3. [ o 110 b -s 5
Add��/pF'r(�NUmberand Scree I ' Ad (Number and Street)
Telephone Number E-mail
THE SAE FS DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
NO CONDITION co
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
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residence? Provide complete address of primary ❑ 4.Solar Energy Heating/ rfentiL�• r:,res e e,including county: , i --•;1
1 (� (i 5 ❑ 0 S.Wind Power Device _ .. a Jam, y
�(/ ess(Nam raanddsswetyry �A•,� �a , n ❑ ❑ 6.Hydroelectic Power Devicej!, ! 9 113
�`�� ""' " ' Lk� ❑ 0 7.Geothermal Energy HeatingydooluteDedl e
\,SmreZPlode County ,_.,
❑ 2.Does the buyer have a homestead in Indiana to be ❑ E -/B.Is this property a residential'rental_pi opeityr
vacated for this residence? If yes,provide ❑ la/ef Would you like to rteivet �q�te�Itf altifoR
complete address of residence being vacated, property via a-maih Provide contac
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including county: ,i- {y� below.Please see ins Ciionsjormorem�rma�do�nR
4) S (�W Notavail.s . ", , e ,:
a. umber -stn t)
•r. !- ,
1 •, b ( -/3_/; 3
. 3o0-000 . 88-oab
City,Sta , /'Code away
Priimary properryownerconta • -mail