HomeMy WebLinkAboutHomestead_Miskell (18) INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2
:D PREPARER - , - -
Kellee L. Rollins - Closing Agent
Preparer of the Sates Disclosure Form • Tide
202 S. Michigan Street. Ste.300 Meridian Title Corporation
Address(Number and Street) Company•
South Bend. IN 46601 800-777-1574 mtc(Wmeridiantitle.com
City,State,and ZIP Code Telephone Number E-mail
:.E:SELLER(S)/GRANTOR(S)' -
IF - I 'r I✓- ._ --e -- -."r:
Seller l'Nome as appears an conveyance document - Seller 2.Name as appears on conveyance document •
301 W Ray Street
Address(Number and Street) Address(Number and Street)
Jacksonville IN 32202
.Under penalties of perju ,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a lete as equirkdby a and 'sprepa`e�dd in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSe/lleer )` JY.,/\ J1 �fJ�n 11 Signature of Seller
Andrew R Drake Attorney 4/6/16 V
Printed Name o/Seller Sian Date(M.4/DD/YI'Yl) Printed Name of Seller Sign Date NH.M/DD/YYYY)
F.-BUYER(S)/GRANTEE(S)-APPLICATION-FOR-PROPERTY-TAX-DEDUCTIONS=IDENTIFY.ALL.ITEMS.THATAPPLY,:_:,,- _ . ..
Jason A.Miskell y�
Buyer l-N e p an conveyance document Buyer2-Name as appears on convey ocysnee
5;2 Li M 1✓vRf'-/ 5
ddr Number and Street) Address(Number and Street)
1MCEf it3 w CfX70 )