Homestead_Forest INDIANA SALES DISCLOSURE FORM SDFID
D PREPARER 1 _T a. . - r .- ,z = ;.. _ Page Z
to Lynn Slusher Authorized Agent
Prepare:0phi Sales Disciosw-e Form mle
109 Davent-v Lane MF Title,Inc.dba US Title .-
Add.aa(Number cad Saeet) Company
Louisville,KY 40223 S'2-1593 -L15' c .)tgelV i )u5ri}(,.4 inSt/4/14.
City,State and ZIP code _ Tckphone Number m
E B V
r'S£t:LFStIS)/_GRANT'OR(S) -_ --` '.a::>;=
Fannie Mae AICA Federal National Mortgage Association
Seller 1-Name as appears an canveyance dons.tnt Seller 2-Name as appears on conveyance document
14221 Dallas Parkway, Suite 1000
Addrs(:u x and Sane) Addres:(NUmber and street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct _
and comple as requi d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". •
C�D�
_ A-
Tyra Forest
B. rrl-Name as appears o can•lce,ce, anent Btrye:2-Name as appears on conveyance document
Arere:d[ Address(Number and Street)
Ale
TH'_SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPL
YES r NG CONDRION I YES NO CONDITION Q/1
k'/U 1.Will this property be the buyer's primary i.i. 3.Homestead GIBSON COUNT
residence? Provide complete address of primary
❑ �p Edo 4.Solar Energy Heating/Cooling System
residence,including county: ❑ L�JB S.Wind Power Device
Addrss(Number and Sa2:) ❑ T� 6.Hydroelectric Power Device '
oy,str,�zt>coee ❑ ( 7.Geothermal Energy Heating/Cooling Device -.
County
o ro
2. Does the buyer have a homestead in Indiana to be ❑ B Is this property a residential rental property?
vacated for this residence? if yes,provide ❑ 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.)
Add2e5?:wn ben a.M Street)
MY.State ZIP Code Court
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