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INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
Stacy Brown Brown Closing Services
.0n7crer cf the Sates Disclosure Fr= Tore
7870 Estee Crest Blvd. Suite 201 Regional Title Services.LLC
Addne a(Number and Stem) a:m.0V
Evansville.IN 47715 812-759-5555 stacv.browneregionaltilelk-com
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i.Ei SEISENSI7GRANTOWSW-0211E4Mestal,-Ciae-fitiktiCreelfiAltiikTaie.e.9.9•:&574.-.-1-7-aWirar-liteL2.91-tiarr.,-ea.
Tba Ra_a-Ptary of larumine PM I IffINI OPvelnnmen+
see 1-game os appears 00 0711:1777-2X d,ctane7n Seller 2-Name=a poem an 19/76•00./CE document
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Addmss(Number am IStmer) Adrs (Number cod Smeet)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Complete as rurS b w,and is prepared in accordance with IC 6-1.1-5.5,'Real Property Sales Disclosure Act".
SN/ren/Seiler t messya Tate Sig=re of Seiler
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Frata i Nene of Seer '
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RF)BUYER 'GRANTF-EfSW_APP,LICATIONTORPROPERTIWAX.DEDUCTIONSI'IDENTIF7CALLI•.- IS."•.• ,I. -, -'•7:7 i.. • ......asal
Darlene S Kay
cormeremme dos-amens Buy e-2-Name asumanan man-Nutt daMAR 28 2018
3301 Cortland Street
Address(Number and Nem) Addams(Number and arca)
Detroit MI 48206
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TEE DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAN DEDUCTIONS FOR THIS PROP .IDENTIFY ALL OF THOSE THAT APPLY,
VU MO cmminos
75
0 1..Will this property be the buyer's primary I YES No coLINFEIDN
(fl D 3.Horceste
residence? Provide complete address of primary I I i6 4.Solar eneru Hearing/Cooling System
residence,including county:
2_nb kr mitt si- D 0 5.Wind Power Device
milrwNombWandStrJ • 0 0 6.Hydroelectric Power Device
G ,—1-f\I W-7&CC 62 6 ikTrunTh
D g 7.Geothermal Energy Heating/Cooling Device
OD:Same Ztf Cade Cacoy
D 8.Is this proper a residential rental property?
o i_, 2.Does the buyer have a homestead in Indiana to be g property
vacated for this residence? If yes,provide 0 9.Would you like to receive tax statemenm 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 coundat)
Adam a(Number and SMeg)
MA‘ -o y- .2 y -3 o o - 000, 17 _ ootz
04'State VP Code County
PrIT5.7pmpau owner cc=name E-rad
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