Homestead_Wilderman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
:D :REP:ARER ¢-r'i F�7 - 777 ME"•}v 3W-...Yhu7" c .kr• 3
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Yf(y1 /C]tsu, CLOSER
Preparer a)the as uts.,sure Form Title
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 Email
7Ei4SEL ER S 7 GRAN�T,OR S ' ' m`Sr a r°" o, ' _
t )� -n t � .�' '� _.. -'":tai..`.'''�"� � 'r� ,�"�.�cS' ?s�o-"'I��.f`-.._. 4
I Estate of Teddy L Morris deceased
Se!` I-artcappppeeaar,won conveyance i] Seller 2-Name as appears on conveyance document
Address(Number_a^�Street) t lr Address(Number and Street)
Jib " I1-.io-*o-- A9 KDv
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 with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature ofSe'r Signature of Seller
Douglas Mitchell Morris as Personal Rep t- 1-1- -) 7 ;a _
Printed Name of Seller Sian Date(MM/DO/MT) Printed Name of Seller Si;•Da' EttsvoD/YFTn
7E- BUYER S)/GRA�',TEE(S)kAPEEIGATIONiEO TIWOPERT3YETAX+DEDUC 11101 LIDENTIFYtAL ti15=iA 'T' j ' =n
- _ � �: �.'4t��r3s�-tea.
'n.el- Wilderman
Buyer)-Na nn - • conveyer e document Buyer as appears conveyance d s'R� t 'fill pi?
actress(Nun.Tr and Street) ���� Address(Number and Street) /1,
lard 04, ,>-
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES 0 CONDITION
cit >�m>_....;,,_.• ❑ 1.Vltill this property be the buyer's primary �❑ 3.Homestead ,residence? Provide complete address of primar • 0 4.Solar Energy Heating gL it
residence,including county: -❑
S.Wind Power DeviceAUG n . 2017
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ 151 7.Geothermal Energy eating Co no ice
City. to ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this proptirtvSOr COUNTY I property?
vacated for this residence? If yes,provide ❑ is 9•Would you like to receive tax staumen or this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
ci 7 ty-6 J Not available in all counties.)
rA ess(NumoerSnd Stre t' 1 f V� � l
2aASt7. ILt 1 1+1-t:Z� 026, -/41-07 - Soo -coo. y14 -ooh
City State ZIP Code County
Primary property owner contact name E-mail