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HomeMy WebLinkAboutHomestead_Berkley INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1804439 Page 2 D.PREPARER DELANDRIA POWELL ESCROW OFFICER Preparer of the Sales Disclosure Form Tide 41 E WASHINGTON ST.SUITE 400 TOTAL TITLE LLC Address(Number and Street) C'ampane INDIANAPOLIS,IN 46204- 317-264-5000 DPOWELL @DOYLELEGAL.COM City.State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - FEDERAL HOME LOAN MORTGAGE CORPORATION Seller I-Name as appears on canerenace document Seller 2-Name as appears on conveyance document 5000 PLANO PARKWAY Address(Number and Street) Address(Number and Street) UpSERmAxerjagrigigonapae COW that this Sales Disclosure,to the best of my knowledge and belief, is true,correct an @E21GAr a •P'- ■- .W( dNS.prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ///€€111 ll 1I Signature of Se • Signature of.Seller Pw :I_ .N'1a, • aye t � 'omB Gan tarnr•....rpnwn Pr,rled IV.,,,,nr Celle. Gan rN•p r•n1•n.•v»v F. BUYE S)/GRANTEE(53-APPLICAT"ON FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY I SANDRA BERKLEY Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 112 S.MAIN ST. Address(Number and Street) Address(Number and Street) PATOKA, IN 47666- ( IIE SALES DISCLOSURE MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES N 4 CONDITION JAN 2 7 2015 in ❑ 1.Will this property be the buyer's primary xi - 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heat' • em residence,including county: ❑ © 5.Wind PoweQIE6E2N COUNTY AUDITOR 112 S.MAIN ST. Address(Number and Street) ❑ © 6. Hydroelectric Power Device PATOKA, IN 47666 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ El 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. Not available in all counties.) Address(Number and Street) r / o &-477-1--/ad • arc. n -ca w City.State ZIP Code County Primary prapertyt unev:rontoct name E-mail