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� Kellee L. Rollins Closina Aaent
n�„�o/m�sa�� oed�.u.� r r,c.
202 S. Michioan Street Ste. 300 Meridian Title Corooration
AEdras (NumEo- and StrtctJ Company
South Bend IN 46601
E-mail
E:SELLERfSI/CRANTORtSI ,: ==� �. �. : � - � � - � - - _ - . . . . .. _. `- . . . . . . . - -
Sellrs l� Name u apPeors an rnnveyvnre doa�ment Selier 2� Namc as appnn on conucyanreCOCVmrn[
14991 flallas Parkwav Ste innn
Addres(Numbvnnd5treefJ Addr¢s(NUmberondStrttlJ
Ilalla� TX 75254
[iry,5mu,aad2lPCoda Ciry,Smt4 ondAPCade
tU AaneNUmber E-mail 7e1 hmeNumh� E-mai/
Under penalties of erjury, t hereby certily Iha[ this Sales Disclosure, to the bes[ of my knowledge and belie(, is true, mrrect
a�d cotnplete as r q�i(Ed�y law, and is pr�pared in accordance �vi[h IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
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Bvyer 1- Nomsm appmrs on
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FOR
THE SAL6 DISQOSURE iORN �IAV BE USEU TO dPPLY FOR CFATAIY
ss,em.�o/senQ
AXDEDUCTIONS=�iDENTIFY�AL[.ITEMS.THATAPPLY� ". . , .. . _
❑✓ ❑ 1. Will this property be the buyer's priv� �
residence? Provide complete address �
residence, including counry:
7039 5_ 1100 W_
�de.�, �u�msQ a�d so-���
Ov�ensville.IN 47665 � i SOn v.;�o�
[ity,5lahZIPCOEe cou�ry
❑ 0✓ 2. Does Che buyer have a homestead in Indiana m be
vaca[ed (or this residence? If yes, pmvide
comple[e address of residence being vacated,
induding caunty:
aed.�rydmtua�esc.ec�
GLy,SfnmLPLOEe Lounry
Bvye 2� Namam aypmv on ronvryance dxumenr
Addr� (Num6er vnd Sh¢[J
Ciry, Smt4 andLCCade
�✓ � 3. Homet[ead
n n 4• Solar EnerR
❑ ❑✓ 6. Hydroelectric Power Device
❑ ✓Q 7. Geothermal Energy Heabng/Cooling Device
❑ ❑✓ 6. Is [his property a residentlal ren[al property?
❑ Q 9. Would you like m receive caz statemen¢ for this
property via e-mail? [Provrde tontoc[ in%rmatlon
below. Please see insdvctions%r more information.
Not available in aI! countles.)
Under penaltles of perjury, I hereby certify that this Sales Disdosure, to the best of my knowledge and
and complete as required by law, and is prepared in accordance wi[h IC G-11-5.5, "Real P ty_Shcg
Spouse information, Social Security and Drivers License/Other numbers are ecessary if no Home
being filed.)
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