HomeMy WebLinkAboutHomestead_Smith (74) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER%: ...Y,tSA6�`.xa�`^�`Fy . ,S.t ,1:-i na ig.i:.'. W v .- .� i _, i33REsiS-,',i _-.-� ?„�` uWaa4-1
Nicole Beaver Closer
l'reparer of the.Sale,Disclosure Form Tale
202 S Michigan Street Suite 300 Meridian Title Corporation
Addrry(Number and Street) Company
South bend,IN 46601 866-399-1657 reoescrow(2 meridiantitle.com
City,Stare and Zip Code Telephone Number Email
:E SELLER(S)YGRANTOR(S)`:: , «x:- _...r:z .,.... °rdo`e `gF�`'''a!!'u e :eS'.-t'. *Th: Y3: r;t-<r ',e.-L` )- ''}4I: :'Q'_FR,'-s,
SRMOF II 2012-1 Trust,U.S. Bank Trust National Association,by Selene
Finance.LP.its Attorney in Fact
Seller)-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document
9990 Richmond Ave, Suite 400
Address(Number and Street) Address( ember and Street)
^Houston, TX 77042
(
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true,correct
and compl teas equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
1 P /9- R0,/mayODUII /1//_ _ `7 ,3- ; �r x.c(,.� ' i
Signature of.Seller - - - - • ' r :j-in , 3L''t---- Signature/.Seller c+�
"` it OCr�OJ 02_0/47 G/'/ \i/n k( S 111 CCAt"-Ci
l:BiiShiliiffii� ,7elllof IceYfesidenl
_Printed None of Seller Signed Date AL1!'DD'YYY) - r me a - -- Signed Date(h5WDOTYYY)
F:4RPYFR(s lGRT?NTEE(5)'„APP.Iil 'TLON7!POR°PROPERTYI7 A, ' CTIONSIDEI Y r LThTEMS'PTHAT APPLY.:-4 t - `- ”
Ron Smith I, _ Nancy Smith
Buyer I-Name a arson canveance document :o'er I-Name as appears on conveyance document•
1 2, 5aary ,f 6-i137- SOS _%V1-1/
Addwr sr Number and Street) Addres - o ber and Street)
,e,w a.W) 14) 'Y710//9 Fki 1 - ; .22) /7o"/q"
THE SA I.ES DISCLOSURE FORM M A T BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP z•-'. • IFY ALL. '• AT APPLY.
YES NO CONDITION YES NO CONDITION `�/pp`^,t'
,fit l I. Will this property be the buyer's primary r 3. Homestead
7� residence?Provide complete address of primary -- y eating/Cooling y
residence,including county:
r war Devise
Address CAS; 5�Y? 5��/t/ ��( I1
Addres(Number and Sven) r 6. Hydroelectric Power Device ZQ
'� ° ) r � 7. Geothermal En pa flea -if ooling Device•
r n:.State an-tip Cade / -bany IT r� 8. Is this property arF9�WV- •kip •.-,. .
°Q at
r 2. Does the buyer have a homestead in Indiana to be r 9. Would you like to receive tax �lIty1/''br this
vacated for this residence?If yes,provide property via c-mail?(Provide contact inform:SO, /T0
complete address of residence being vacated, below.Please see instructions for more information. a
including county:
Not available in all a pries)
Address(Number and Street)
do G-0'5 Aac . / v 1'�/
---k6)/J 1!2 1 x71
City.Stole aniZip Code County Primaryprapery owner contact name Email