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Homestead_Mefford
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 t'I)aP,REPAREIWir :Clc -'-ar A7i s- _'; -:-,le ragcriti=—f �a z k; ;z_-LAZE— HEATHER SORLIE CLOSING SPECIALIST Preparer of the Sales Disclosure Form Title 405 S 6TH ST HONEYCREEK VIGO TITLE SERVICES, INC. Address(Number and Street) Company TERRE HAUTE, IN 47807 812-234-7474 HEATHER nHCVTITLE.COM Ciry,State,and ZIP Code Telephone Number E-mail uE:'SElibER(S) GRAN OR S Wli-Y_i" �...marl � __. BIZ; 'S-f—l? r Ee :i it S ff r ;^'s. / ( ) - __t,<- sue .,: '-':oS �Fia�ss. � - �3.x..�--- .. �.. ' s 7S'"_.s .,1 _ TAMMY J FNGI E AS SUC TR Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 6683 N NIXON RD Address(Number and Street) Address(Number and Street) HA7F1 TON IN 47640 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 b4 la tit is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". i teal / r 4,.pl` t Sign reofSeller '•\ J Signature of Seller TAMMY J EN AS kU TRUSTFE 02/08/7017 Printed Name of Seller Sign Date(HAI/DD/YYYY) Printed Name of Seller Sign Date(AM/DD/YYYY) LF..BUYER(S)%GRANTEE(SnAP,PL'ICAT ION,F,OR,P,ROP,ERT.YTAXiDEDUCTIONSMIDENTIFYNWITEMSLTHATiAPP,L'naff"�..�;% ANTHONY LEE WILLIAM MEFFORD 11 Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on can mcel oc ent }.f 8722 SAND RIDGE RD Address(Number and Street) Address(Number and Street) FEB 1.0 2017 LAWERENCEVILLE,IL 62439 YES NO CONDITION YES NO CONDITION 5 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ 6683 N NIXON RD 5.Wind Power Device Address(Number and Street) t,� ❑ 0 6.Hydroelectric Power Device HAZELTON, IN 47640 CO(D l�an( ❑ IS 7.Geothermal Energy Heating/Cooling Device Ciry,State Z Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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) City,Sm[eZIPCade �(o— ©s-s 7- la3- 000.55?-011 County Primary property owner contact name E-mail