HomeMy WebLinkAboutHomestead_Black •
/DiAAsALulscL0SUREFoRM SDFID: _ Pa•Mary Beck REO CoordinatorPreparer of Mr Sales Disbeure Rum rue
525 East 82nd Street,Suite 110 Statewide Title Company
Address(Number and Street) Campe y 7,R
Indianapolis,IN 46250 317-568-1660 mbeckastindy.com
City,State cad VPCode Telephone Number
0Amory �.t+.r�.y l[. y �Mc� Email
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Federal Home I man Mnrtgage Cornoratinn I
Seller l-Naute a appears on ronveyancr ecurnm: I celkr2-Nome as appears on cnveyancedocument FILED .
5000 Plano Parkway
Address(Number and Street; I ,tdhr as(Number and Street) Sep 04 2018
Carrollton TX 7sn1n
Telephone Number E-mail
Und' t'nal ' of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an. t pis r gic^ed by law,and is prepared in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act".
Signature of Seller Q'r-A-
Signature Signature of Seller
Parry Barnes Partner POA 8/60018 POA rec 2/12/04 Inst 4700400001055
Printed Name of Seller Sion Dote INM/oD,nn) Printed Name o Seller
1Sftt RCS rl`��'f+Pr,T>E2( WPhLYCA3-f.ONFF.API(biiE Ct tbtffi'Cj51 'QITEf IFi ATI5W FS'1T1 A 4SEYs`Y ','.s. .de"v'; `gi.
Jeffrey R.Black R.Star Black
Royer I-Name at appears an conveyance document Cm ILL) Royer 2.Nome an appears an conveyance document
Pub 80)4- 251 201 IJ.t. YELL 5T / ?o.jcv -r 5I zo-t r.i c As i es ST
Address I Number and Sheet)) Alarm(Number and Sum)
p4TO(Jt„ Jr,. 141VaL. I'e—o,c o 114 L41 L L L
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES,/,�t0 CONDITION I YES CONDITION
Ly' ❑ 1.Will this property be the buyer's primary [tom. ❑�3.Homestead
B
residence? Provide complete address of primary 0 4,Solar Energy Heating/Cooling System
r idence,including county' r.,�
at/4 ,Ce oss ❑ 1� S.Wind Power Device
('/1'>ar mjN°'"be;°;N S�reU��� ��/��n ��J'i _j7� ❑ �6.Hydroelectric Power Device
ei'oE)rye,-smmaPr_DV .4-t v -- —�" = ❑ �2•Geothermal Energy Heating/Cooling Device
0 C 2.Does the buyer have a homestead in Indiana to be ❑ ��B'is this property a residential rental property?
vacated for this residence? If yes,provide 0 Q e).Would you like to receive tax statements 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 counties)
Address(Number cod Street?
26-04-24-401-000 . 362 -020
Coy.State ZIPCndr ,.onto
Primary properly mown contact name E-mail