HomeMy WebLinkAboutHomestead_Johnson (15) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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DELANDRIA POWELL ESCROW OFFICER
Preparer of the Sales Disclosure Form Title
41 E WASHINGTON ST STE 400 TOTAL TITLE LLC
Address(Number and Street) Company
INDIANAPOLIS, IN 46204 317-217-5700'766 DPOWELLeDOYLEFOUTTY.COM
City,State,and ZIP Code Telephone Number E-mail
:E .$EL'L'ER($)%GRRNTOR(S)11 �,_. 1::::..._>r -.-. c,:wcr,3- t _s .c.3.. ._r,i,', ; -=_a`;' `
FEDERAL HOME I OAN MORTGAGE CORPORATION
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5000 PLANO PARKWAY
Address(Number and Street) Address(Number and Street)
CARROLLTON TX 75010
E-mail Telephone Number E-mail
Under penalties of perju�ry� h,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and
dr
82fsiaA5mijltU�rlvaiey . ,(a._ uTred in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
By nnyleroutty/Q
• ur:of Sell. I / Signature of Seller
/ 6i1', III .
B,1 .Mafthew,L-Foutty ,'.�Ofle ' Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY)
(.y_,,itcfS)TGRAMEE!(k)=�APPLICATION-FOR•.PROPERRTAVD FEW CTIONSDDN'TII;Y;AI:L'ITEMS;THATAPPLY .: r 1;L:f. :1,
JILLIAN A JOHN M JOHNSON
• Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1010N MAIN ST 1010N MAIN ST
Address(Number and Street) Address(Number and Street)
OAKLAND CITY. IN 47660 OAKLAND CITY, IN 47660
-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead $'�
residence? Provide complete address of primary ❑ 0 4.Solar Energy HgyCllingte��
residence,including county: ❑ 5.Wind Power Device g 1-1 J
1010 N-MAIN ST
Address(Number and Street) ❑ 0 6.Hydroelectric Powe Device
OAKLAND CITY, IN 47660 GIBBON ❑ Q 7.Geothermal Energy Heating�olinBg Device
Ciry.State ZIP Code County
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a resr�/dential rental r erty?
vacated for this residence? If yes,provide ❑ Fl 9.Would you like to i/elc"tii!d S ccs for this
complete address of residence being vacated, property vic4Lenfialt?(provide eblftdcllnf,?Rt7mdon
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) r�
City,State ZIP Code a( — I'4 -1 8-1oa- oca '131'00
County
Primary property owner contact name E-mail