HomeMy WebLinkAboutHomestead_Mullican INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
:D!PREPARER " y,r� a ra .-. rsa,{ ..._A -er;rrl •1 55,E .. .%d•,s._..�.a>L 1:0 t3
a: -. ram.. -. .+:_. . ',eai;`ems= t;e, i�r, . }^_ 'E.'t ut.1 "F«'N,l . ..�ti.v-t�,s tiT
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES, LLC
Address(Number and Street)
E-mail
.E.SELIER(S)/GRANTOR(SI. , .,c _ _'r,i,;: .-_>.." t5 .ys r_ B, g--5 .t><e.—is - xr sr vt--s1 •`" '
I arty J Chandler
e t._e:�l-I\'ame -appears on conveyance document Seller 2-Name as appears on conveyance document
sari, (Number a anddStreeett))—•V�•-i/-sue Address(Number and Street)
,. 1COLI a--vim-4 1" MP L le,
City
Sales Disclosure,to the best of my knowledge and belief,is true,correct
complete as require, r • law,an>. prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
7
Signature of Se 7 E. Signature of Seller
larrvJ CharYiter 75-D\.-A
Printed Name of Seller Sian Date(.M.N/aD/1 Printed Name of Seller Sian Date Lvll/DO/rrnl
t BUYER(S)%GRANT (a-APPLICATION FOR PROPERT;Y;TA DEDUCTIONS=IDENTIFY'ALL ITEMSYTHAT'APPLY -, _. -_
Patricia R. Mullican
Buyer Name as aPEeors opzonce rise nt Buyer 2-Name as appears on conveyance document
UQ
(Number and Street) \ Address(Number and Street)
Ptnt L'�Dt1i a2 41/P7 L)
Ciy;State and ZIP Code Cityt State,and ZIP Code
Tele
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER ' t STIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of prima • IN VA 4. o ar nergy Heating/Cooling System
residence,including county:
❑ 0 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Li 0 7.Geothermal Energy Heating/Cooling Device
City State ZIP a County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.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.
lt.„.
Address(Number and Street) �j� .
City State ZIP lode County tic)"/Z— -(/Jl7"y`D/_"M/� "•,�/
7/_ 02g
E-mail