Homestead_Miller (14) DocuSign Envelope ID:F8A25244-5384-499F-8443-FD575CC624CB
INDIANA SALES DISCLOSURE FORM �w SDP PAGE 2
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Bryan Hush Escrow Officer ._
Private oldie Sults Dbdasure Fern Title
4215 Bdfson Lakes Pkwy Ste 115 Fidelity National Title Insurance Company_ __ • •
d e.sliann.---._treetJ _..
AANru(MnnmrmM Street) Company
Mishawaka,IN 46545 574-257-2711 Bryan.8ush @Brf.com
Lin•.S�m�a5fn and ZIP Code �1rr,/� h` Tele'cone Number .t F-Mat!
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ICondaur Capital Corporation,as Separate Trustee of Matawin
Ventures Trust Series 2015-3
Name as---'---- -- - -- -- --e.. —._y need__- - ....__. ._.. .. . •
Seller I-Nnrnr as appears an conveyance document Seller[-Name at appears on conveyance dnnnnnu
333 S.Anita Drive,Suite 400
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AdrArss(NnmLvrurM.ttnnt) Adrlmxv(Number and Street)
Orange,CA 92068
Under penalties of perjury,I hereby certify that-this Sales Disclosure,to the best of my knowledge and belief,is trite,correcta ml
complete as required bylaw,and is prepared In accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act"._
Signature of Seller Signature ofSeller
trim dNameo('Sellr
SI Date iDD'YYYVJ Primed etc ofSeler Son Date Mi DO/YYYY
.fiNis xi i 7 � i t t i;aJor,i iM iVi it m , : S •
; -n. !,
essica D.Miller - I JIL l6
Unpy'I-Nam as appmrY on canoe twice document Byer 2.-Name as appears on conveyance document --
-)(Q _� 4ll ;\ctr.� _ APR 12 2017
Attirca(Number and Sprat) Address(Nnrnbr mid Street)
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THE SALe.DISLCOSUf1 C FOAM MAY DC USED TO APPLY P011 CERTAIN DEDUCTIONS FOR TINS PROPERTY. IDENTIFY ALL THOSH THAT AI'PI.Y.
- _ NO _ _CONDITION J_FS, HO CONDITION
I ❑ Will this property be the huyen's primary ❑ 3. Homestead
residence? Provide complete address of primary 4. Solar Energy Heating/Cooling System
residence,inducting county__ ❑ 5. Wind Power Device
���/ ..(����.'A1,!,-��U�l�/�� ST___--_ ❑ 6. Hydroelectric Power Device
"Add&34,.-
NumhvandStreet) 7 ❑ 7. Geothermal Energy Healing/Cooling
1« �CL(_ =1-A) /t-7-‘-y Device
7,iut..ZIPG.de_ .— ,_—__..__— cat-Y- ❑ cg 8. Is this property a residential rental
1'FS, „__-_ NO CONDITION
ri ill DO es the Buyer have a homestead in Indiana to property?
he vacated for this residence? if yes,provide ❑ ,C2C 9. Would you like to receive tax statements
complete address of residence being vacated, for this property via e-mail?(Pravide
includiljcounty__.- _ contact in/onnationbelow. Please see
-- -------- instructions for more Information. Not
AgmrstTNUgr4q aiie 1tr_Q ---.- --. a iiabl in all counties.
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Lilp..l'lute ZIP Corte--- _ — awnty Primary property owner rvntett name E.Malll _.
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