HomeMy WebLinkAboutHomestead_Hollander INDIANA SALES DISCLOSURE FORM SDF ID: Page 2.
D.PREPARER' - . - .
Starr Cable Closer I
Prepares of the Salo Disclosure Form Title •
202 5 Michigan St Ste 300 Meridian Tide Cornorelion
Address(Number and Street) Company
Samh_Pend IN 46601 166-399-1657 REOEscrowtlnlridianti;lc.corn
Ciy.State and Zip Code Tel •ham Number I Email
>E:.SELLER S/GRANTORS_. _ w' •." - - _ _ - - '. : - . , , — - _.
HSBC Bank USA,National Association as Trustee for Wells Fargo Home Emily Asset-Bucked
Securities 2006.3 Trust Home Equity Aecel-Bucked Certi Acmes.Series 2006-3 Seller 2-Name as appears an conveyance document
Seller as a�ppeeaa�n:onnconveyance doocuumentn �Q
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I
! T/(./ CD/r2 qe e0 �-A L-'/rcLC Address(Number and Street)
Address(Num r and Stria) rs , ''3
fj-d ✓i�, MD 2 /D/ Clry.State and Zip Code
Telephone Number I Email
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Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
man t I ale • r tuir'a b 1 nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sign m •of Seller - _ .o :••■ tcf�,A. Signature of Seller
Ae Attorney In Fact
KErinu E. Velttzqu� 1Oa-g— .J/3
Printed Nnmro Seiler Signed Date(AIMAD YYYY) red Name of Seller I Signed Dote ILLVEDfyYYYY)
_ j
F BUYER(S)/ %Ai., -,E(S) APPLICATION'FOR PROPERTY TAX DEDUCTIOL ..IDENTEY ALL ITEMS..THAT APPLY.,__ __
R. .nr
Buyer I Name•- • on come ce document B er e as appears on conveyance document
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/ A nzias� I
Address ,lumber and Street) Address(Number and Street)
Pi0fic Pet 7W 976V/ 7 -
Telephone Number I Email
yp1 TILE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF TIOSETIIATIAPPLY.
YES NO CONDITION ... NO CONDITION
yl 17/r I. Will this property be the buyer's primary (- 3. Homestead
'V residence?Provide complete address of primary -
. .r nary; •t p1 oli tern__. •
residence,including county r 1 I.
/D ,5 / �n fer Jn�-, 5. Wind Fowl.;Devi j
Address!Number and Surd) r IV 6. Hydroelectric Power Device
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1-rar�ci,co snv �76'9Y (,.l i; N��� g p
r r, 7. Geothermal En ti ng Device
City,State an Zip Code County r �e./�/S. Is this property a(residential renta property?
r (V�2. Does the buyer have a homestead in Indiana to be r I" 9. Would you li jj. receiv• . t-tements for this
vacated for this residence?If yes,provide propyycct7�P,.,,\,-. ,!h:. nlimn �I t Information
complete address of residence being vacated, vrtl •Nit'•
A
including county: be/ow.Pleases er s.l tjDYi'�3R
Not available in all counties.)
Address(Number and Street) (
16-/i-010-/w- ate. /4.s a)5-.
City.State and Zip Cade County Primary property owner contact name I Email