Homestead_York INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Prepare'of Me Sales Disotsure Form Dde
251 East Ohio St,Sim.200 First American Title Insurance Comoany
Address(Number and Street) Company
Indianapolis,IN 45204 (317)684-7535 i indyDo nto n.IN^gF¢tam.com
City,State,and LP Code Telephone Number E-mail
iBISELTNS:)JCsF(AT730R{9J?,E ' +AnWkC?ASk6 'e r:,,.)Rr7}.Sfi4` id tM?lt.ttNV?•YA.::,y!5'?K:ag"Tent.,f:tQi;2WbR;65?°: ;,,'-MB?'Pi'a"WAVaw'r'i<,`.
Bank of Ane:ice,N.A.
Sella 1-Name as appears on conveyance cocumen! Seller 1-Name as appears on conveyance document
400 National Way 430 National Way
Addrer(Number end Street) Address(Number and St-eet)
Simi Valley,CA 93065
Under penalties of perjury,I hereby - ify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and
comple f as required •} law, .nd-- prep-red in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act^.
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S/gra, of Seller 1 I Co_ L ettyiS'/28/14
, SPnarvre of Sege'
Bank of America,NA,
Pnrxd fame of Seller 5-qn Date(i lVDO/ Printed Name al Seller Son Date N.M/DD/11111
l tF. IF ts)A K'sj +aPx U tibil T,3:tioa 7ur",o.oil blkis=??ibia`kit xNiKiiiii aAPa n X CVIILS ?Nl;:
David K.York Jenny A.York
Buyer 1-Name as appears on conveyance document Bryn-2-Name as appears on conveyance document
6263 Highway ii 6263 Highway 11
Address(Number ard Stitt) Address(Number and Steel)
West Salem,IL 62476 _\Vest Salem,IL 62476
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF TM 5 I Li t�PLY,
��`YEESS{{{ NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary i I 3.Homestead APR 2 3 2014
residence?Provide complete address of . 4.Solar Energy Heating/Latta System
primary residence,including county:
Lc I-7 J .6 W Q ST 4 SO So.,ik I� I RI 5.Wind Power Device //////I1[/
Addeess(,yonter and Street) I/ J ` /' f Li 6.Hydroelectric Pow.er;Q A{•
OLA) C n s v;ffE . 1/I / 766 J 6!b sot n ' �`t 7.GeoternaPEEPN4zerQUNTni AUDITOR
rny;State ZIP(nd. / • Couny n I 8.Is this property a residential rental property?
1-1 X 2.Does the buyer have a homestead in Indiana I 9.Would you like to receive tax statements for
to be vacated for this residence?If yes, this property Na e-mail?(Provide conic
provide complete address of residence being Information below.Please see i strucions for
vacated,including county: more Information.Not available in all counties.)
2. (D- l O -3 to - 4 o o- 00 1 . 9 5 3 -o
Address(N;.mrxr and Street) a
DAv/o lc yogic •
City,State LP Code County Primary property owner contact name E-mad