Homestead_Miskovic INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER .. - . -.•;vitC-t .�..::,-.•-
LANA C. HARPER CLOSER
I repo nv of the Sales Disrin.ure Form Tale
5231 Oak Grove Rd. Ste.A TOTAL TITLE SERVICES, LLC
Addres(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S) - -
Estate of Mirhael W Green deceased
Seller I-Name as appears on conveyance document .Seller 2-Name as appears on conveyance document
1iSea F alEtS
, (Number an Street) (�` Address(Number and Street)
FrDr-+- sir& %A ) , �; `=L ep
Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co lete as require aw,and is pre ared in accordance with IC 6-1.1.5,5,"Real Property Sales Disclosure Act".
.Some' eM Seller Signature ofSelkr
I eAnn S Cooper as Personal Representative 1,-7_/9
Printed Name of Seiler Sion Date txx/anfYr) Printed Name ofSeller Sign Date(MM/DO/nYn
F.BUYERLS)(GRANTEE(S).-APPLICATION FOR PROPERTY.TAX'DEDUCTIONS-IDENTIFY•ALL ITEMS.THAT.AP.PLY? '",;:.t'$'- -':*1
�dward Miskovic Susan B. Miskovic
.,- conveyance document Rya 2-Nome asappears an conveyance document
1Z aLf7 ' ?go S • r 4/7 c 7Qo r
dddren(Number dStreet) Address Num and Sheet T
�
YES NO CONDITION yO--Gg\nLLON �
le" D. 1.Will this property be the buyer's primary R❑ 3.Homestead ��NN��jj��((tl���'�
4residence? Provide complete address of primary • MitARMit1DITOR
// residence,intdingcounty: ❑
Y r 7g-o 5.Wind Power Device
. rr cute ,, / ❑ 0 6.Hydroelectric Power Device
r p'umb gs, a, l7V g7/r L/rry` ` dos ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,Rate ZIP Cale County
❑ [� 2.Does the buyer have a homestead in Indiana to he ❑ jzi
8.Is this property a residential rental property?
`j 1/ vacated for this residence? Ifyes,provide ❑ 9 Would you like to receive tax statements for this
'Q complete address of residence being vacated, property via a-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Streat)
a6 — (g- ! 9 -.to.3— Do/. .1Wt e . ,
Cite•SIaIC ZIP Code County
Primary property owner rmtort name E-mail