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INDIANA SALES DISCLOSURE FORM SDF ID: Page?
D.PREPARER, _ .r;-. • _ _ - - ..-. _ . .-f r '!
CARLA WALTMAN ESCROW CLOSER
Preparerof:ire Sales Disci:snre Form P::!e
331 FRAINKLN ST TITLE CENTER OF INDIANA
A..dress(.•run_er end Sneer) Crmpan,
COLUMBUS. IN 47201 812-372-5173 cada waltman:!8zelecenterciia±ianacom
Cry.Sm¢.cnd ZIP Code Telephone Number mcu
E.-SELLER(S)/GRANTOR(S)-.3."'.-.'e*;;. ,. ---e. : • =s r : • :"f _ Z, 'r-',: t : ''c. 1
I
II ICTIN SPAI-I.S.M I
Seller r-.tame as eppeo.rs Co:am err ante dcamen: ' Seiler_-Nome as apaeers on ronvem.n:e Corimen:
3120 F TOP HAT RD -
Aduress(.Number and Saes:) A duress INum:er and S:revs)
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete gs r quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
e al Seger g:an:re of Seller
II ISTIN GRAHAM
Primed Name of Seiler Sian Dare(NA/aiiY l Panted Name at Seller Sian Date SMWDO/Yrrq
F',BUYER(S)/GRAN PEE(S)i r1PPLICATION FOR PROPERTY.TARIDEDUCT IONS=IDENTIFpY.:,A1�LISITEMS•THAVAPPLY 5"V I::
a�� 1
SLANE M GRESS
aryerl-.Y_meas eppearsen con��eysereda:-er.: 3a,-r3-Name es eppe..r von dorm [ ( .(
156 N WHITELOCK AVE APT 11 _
Address(1:limber and Street) Address(Number and S:rce[)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIOI1BS014 JN AUDITOR
YES NO CONDITION YES NO CONDITION
171 El 1.Will this property be the buyer's primary 7i J 3.Homestead
residence? Provide complete address of primary i (-I fl 4.Solar Energy Heating/Cooling System
r s d e,including county:
�� � !lid) ��� I' ❑ 7 5.Wind Power Device
es(, rpP. Sr n lh ('`(, n ❑ 71 6.Hydroelectric Power Device
Iin���l4 1{� '1(.1i3 Ll7 U 0 7 7.Geothermal Energy Hea ting/Cooling Device
rip,. ZIP Code County I
1U fd j 2.Does the buyer have a homestead in Indiana to be I I ' $ Is this property a residential rental property?—
vacated for this residence? If yes,provide ❑ 7 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: I below Please see instructions for more information.
Not available in all counties.)
Address(Number and S:rear)
C,•,SC;e ZIP Code Ca.ny aL-1 a- Is-moo- 003. sgD-0 2'�
Primary props.,owner contort come cc-.mast