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HomeMy WebLinkAboutHomestead_Mull (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D,PREPARER DELANDRIA POWELL ESCROW OFFICER Preparer of the Soles Dadasure Fonn Tide 41 E WASHINGTON ST STE 400 TOTAL TITLE LLC Address(Number and Street) Company INDIANAPOLIS, IN 46204 City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) _FEDFRAI HOME I OAN MORTGAGE CORPORATION Setter 1•Nome as appears on conveyance document Seger 2.Name as appears w can.game document 5000 PLANO PARKWAY Address(NumbernndStrset) Address(Number and.Street) CARROI I TON TX 75010 City,State.sad ZIP Code City,State,and 2/P Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comt�tp as requirede by law and is prepared in accordance with IC 6.1.1.5,5,"Real Property Sales Disclosure Act". 11,aerial huh I.oail (:4tillQla fi ,OOr fj 10 1,,' P.C. Signotur 'der. - ;' ',r Sigature a/Seller ►(ur`t1l..Lake,A1tUmey f I�iq Printed f Seller Simi Date(wt/oo/Yrrv) Printed Name of Seller Sign Dote(Nu/OD/YWf F.BUYER(S)/CRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY RICHARD MULL LORINDA MULL Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 2644 E 400 NORTH 2644 E 400 NORTH Address(Number and Street) Address(Number and Street) PATOKA,IN 47666 PATOKA. IN 47666 City.State.and ZiP Code City,State.and ZIP Code F I LED Telephone Number E-mail Telephone Number Apr 22 2010 Email 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 ❑✓ ❑ 1.Will this property be the buyer's primary ✓❑ ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System residence,including county: 7644 E400 NORTH ❑ 05.Wind Power Device Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device PATOKA, IN 47666 GIBSON ❑ Q 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code county ❑ 02.Does the buyer have a homestead in Indiana to be ❑ 0 B•Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 9.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 and Street) 26-05-22-100-000 . 424-017 City,State ZIP Code County Primary property owner contact name Email Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and