Homestead_Meecs INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
:5.4PRE$ARER;C-7 _- _ c._ 7,:77 7_. - - - - -- —L _ --_`-- --- Li: .ieT
Dana McBride Closer
Preparer of the Sales Disclosure Form Title
606 Main St. Dubois County Title Co., Inc.
Address(Number and Street) Company
Jasper, IN 47546 812-482-1696
City,State,and ZIP Code Telephone Number E-mail
` .sELtiER(s)/GRANTOR(S)1; 2'S• --� -- . .F _ .. ,_pa- - 3 ;?-y.s -- — x -' 1
Timothy L Wallace R Samanda.1 Wallace
Seller]-Name as appepa.€on conveyance document Seller 2-Name as appears on conveyance document
7360 old Umin1 #1Ji l'e
ress(. umberand Str e• l U� I I Address(Number and Street)
al.z ) y
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance wi ICa6-1.11-5.5,"Real P r erttvSales Disclosure Act".
X"^rG�< A ✓4- -- U'Kd�a- /(///
Signature Seller Sign,ture of Seller tJ
Timothy L Wallace 8-12-16 Samanda J Wallace 8-12-16
Printed Nome of Seller Sion Date LMM/aDLYYYYI Printed Name of Seller Sion Date(MM/DD/YYYYI
I6:aUYER(S)/GRAN TEE( :FAPP,�I0110 •FORpROPERTYTTAv DEDUCTIONS :IDENT,1FYr1LI:ITEMSTHAT'AP,-PLI , , . -]
Michael E. Meece 8 Sharon K. Meece
Buyer]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
33c)1 5 nd t2 57
ddress(Number and Street) . Address(Number and Street)
WLIond Ci4Y, TA) U7(ncoo -
s:
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY'ALL OF THOSE n Y. COJn
YES NO CONDITION YES NO CONDITION "0G '•- V
E
LVO 1.Will this property be the buyer's primary [/ ❑ 3.Homestead ti/y�i