HomeMy WebLinkAboutHomestead_Tully INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Jami Weirich Customer Service Rep-
Pre parer of the Sales Disclosure Form Tide
6525 East 82nd Street, Suite 110 Statewide Title Company '
Address(Number and Street) Company
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Indianapolis, IN 46250 317-806-8160 jweirichOstwdtitle.com'
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City,State,and ZIP Code Telephone Number
E-mail
�'EitSEI;L•ER(S]/,GRANTOR(S)'��`-"-,>. W s==Y,IL2-`E, ,-.:.:-.::,,,":h-',..;'J- ,41:!:> '-^ "x;-2-- ::::it� ,,.
Federal National Mortgage Association
Seller 1-Name as appears an conveyance document Seller 2-Name as appears an conveyance document
14721 Dallas Parkway Suite 1000
Address(Number and Street) Address(Number and Street)
Dallas TX 75754
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an m ete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
y.1,-Sig eofSeller ,---. / Signature of Seller
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Printed Name of S ller Sign Date IMM/DD/IYYYI Printed Name of Seller Sign Date(MM/DDAYYY)
F,,yBU .E-1-1 /,6RARTEE(S)y�„APPLIGATI'ON4 FOR 2vaTTR—ERTj1'Tr1XjDE)-0 TIO\'S IDENTIF Will IITiEMS THAT:?AFTE'Yr. .`! s t ,'",'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY N 2 9 2016
YES NO CONDITION YES NO CONDITION
® ❑ 1.Will this property be the buyer's primary E ❑ 3.Homestead
residence? Provide complete address of primary ❑ pi 4.Solar Energy Heating/4
residence,�including county: ❑ ® ��ASON COUNTY AUDITOR
4/02 7 Saud, j-r4(( 5+rer f S.Wind Power De
Address(Number 1rand Street) / ■ ❑ ❑ 6. Hydroelectric Power Device
prir'c € 7r) `171r 7Q Gi6So IX ❑ ® 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ IA 2.Does the buyer have a homestead in Indiana to be ❑ ® 8.1s 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.)
Address(Number and Street) l �^
City,State ZIP Cade County 0 Y - 1e,-o1- 303 - 001- i r 1-o ?
Primary property owner contact name E-mail
.
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