Homestead_Rockett INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_D'ITF EP.ARER_� -1uu•',3 nc__. - _ Vie- x -- r1'n rq t s -
RexanneMcCauley Title& Escrow Processing
Pre
o Disclosure of the Sales Disclosure Form Title
3930 Mezzanine Drive, Ste C Columbia Title. Inc. tip
Address(Number and Street)
a 1 columbjatigIOUP.com Email
City,State,and ZIP Cade Telephone Number 3 16.0
�r•
E:SELER GRAvTORJt Y> Jr xpt0`i_ii. f .1 ._ xe, 0�t23Y•�'S'k. - r * p>K 3sdV'N AJ
Jeremiah E Harris Kelly L Harris "t-{ -
Seller• V me isappea on co once c nent Seller fro ppeJon con. ne dnrumes
Addr (Numbe and St eat) dress t e t)
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
an E complete as requ w,and is prepared in accordance with IC 6- 1-5.S,"Re I P p r Sales Disclosure Act".
(gnature of Seller S.— Signature Seller
Jeremiah F Harris -7—/ Kelly L Harris i 1- 8
Printed NameofSeller Sian Date(MM/DD/vYYn Printed Na me of Seller Sian Date(MM/Dorm)
_F..BUYE�S)fCR4NTEE S)i=kPP:LIGATION,FOR PROPERTY TAX';DED RCTMS=IDENTIFY•r1LL ITEMS,THAT APPLY __
gory Rockett I Nicole Rockett
nie s appears onconveyanca o met ,,,,ears on onveyn.• aocum nt
Add (Number a re�e—�—��� „/r 1 (N�u^/fbet and
'S�[r�if il/t)� / a ���(I A
YES NO CONDITION I ' •` ONDITI ,
�] ❑ 1.Will this property be the buyer's primary I ❑ 3. Homestead
J� residence? Provide complete address of primary 4.Smart ergy Heating/Cooling System
r /s,idenc including c unty: ❑
1 I 0 ,i (�31q( kli ( ivi 5.Wind Power Device
Addr�,(,yr,mber t►rerYt /� ) I�J��I p\' , ❑ 6. Hydroelectric Power Device
f ll��� a ll ✓1 �� ❑ 7. Geothermal Energy Heating/Cooling Device
City State ZIP Code County
❑ A' 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ 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)
Lo .
City State ZIP Code county
Primary property auk, E-mail