Homestead_Lefler INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ID.P�rREPARER Q... � <. - „_-, o,a. -. `. , 'J
R ilYYIdii (Q,Tt tAY3, CLOSER
Preparer of the Sales Disclosure Form Title
1
5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE,IN 47715 812-468-8485
City,State,and ZIP Code Telephone Number E-mail
=E.SELLER(S)/GRANTOR(S) .. a . ,a i .
Mitchell A. Fills Amy E.Ellis
Seller l-Name as apetuars on conveyance document Seller 2-Name as appears on conveyance document
ap 3 Di 1 qtr Late_ 2 K1
1;(Number and Street) • a Number• •Str--t)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c mplete�as re d by law,and is prepared in accordance\with - 5,"Real Property Sales Disclosure Act".
/
F.BUYER(S)/GRANTEE(S).