HomeMy WebLinkAboutHomestead_Elrod INDIANA SALES DISCLOSURE FORM SDF ID: ?fir- q,.,� Pa_e 2
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Cheryl Vaughan Internal el ricer
Preparer of the Sala Disclosure Form Title •
220 Commerce Drive Weichert National Title Services, LLC
Address(Number and Street) Company
Fort Washington, PA 19034 866-448-4303 cvaughan @weichertnational..com
City Sta¢and ZIP Code Telephone Number E-mail
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Christopher M. Layman
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Seller 1-Name os appears an o a n v e y m x e document Selfer 2-Name as appears on tonveyv•- •- . I ■
foISH U 3h m ay.._ .
Address(Number end Street) Address(Number and Sweet) FEB 19 2014
Ow.d9YI&I, 114 Iv lobs
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Telephone Number /^` E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my Iruowleetage 11Xf,'9MISkirrect
and complete as requir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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v3�gnatu o /, Signature a/Selby
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Printed None of Seller Sign 1( ryV YYYY) Printed Name of Seller Sign Dots(MN D/YYY))
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tF'"'ginfij'Stril ANfEEtS f itx`Fi arid EWFirtgal. GO TS,7S 11.18SIESSA'GST:2MSOR11'j" 1 s5.
Jasei • . e Amanda E7 rod
FT-. - ..., ent Buyer 2-Name as appears an conveyance document •
A`ti'SNILa 1 e LAS W . Sboilnely, Au
Address(Number and Sweet) Address(Number and Sine)
j)IAMArkSan I'e
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CFRTALY DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF T��.�
YES NO CONDITIONS J1eq'1 @p■$/,
® ❑ 1.Will this property be the buyer's primary r ® ❑ Homestea
residence? Provide complete address of primary A-Solar Energy HeCaddinpg/Coolimrstem
re 'den e,indudi a cou ty: ❑ Wind Power DL'vleE' 1 9 1U1
/S4 G7 tcrALA /A AvE
n�Lp�ddress(Ywiber andSiren) i, ❑ ( .Hydroelectric P wer Device
1/(,t1,FA/$y1LLc - " 9/GZ 5 -11350/✓ ❑ [ Geothermal oling Device:
City,SOLreJ�yl�Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ this p�pppplpTgerty?
vacated for this residence? If yes,provide ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property Via e-mail?(Provide contact information
•
including county: below.Please see instructions for more information.
• of aval o e in a tVuntie
Address(Number and Street)
,( -// - 31 . 300 - oof. ;SI -4)
Cry.State LP Code Counq
-"-----adraganerty owner contact name .tU
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