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Homestead_Morgan .INDIANA SALES DISCLOSURE FORM SDF ID: Pane 2 _aD:.P.REPAREftir a 4l_i1_ -_. .o-"-`11.1 -TZlii a e 50L. .1a1 t'a-'.5, :4Y; i —iEiT;13 12sJ ---Mgi 3 ain.= Elysea M Ledman Settlement&Quality Assurance Preparer of the Sales Disclosure Farm Title 3930 Mezzanine Drive. Suite C Columbia Title, Inc. Address(Number and Street) Company Lafayette. IN 47905 'E.SELLER(SjT/.GRANTOR017 o77 r `_ '-_- -' u y`-`- ..''` a n -:'_� f'rt"2 ._4 6^. 3 c_- .:,ram-' Jeffrey 0 Blaydes Judith L Blaydes Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 335 Patriot=I ending '195 Patriots I ending Address(Number and Street) Address(Number and Street) Coatsville IN 45121 Coatsville IN 46121 ,Sales Disclosure Act". Si;. sure of Seller D Sig ure of Seller K �Z�� Jeffrey 0 Blades 8/19/2019 Judith L Blavdes 8/19/2019 Printed Name of Seller °onDate(M.N/oo/IYYY) Printed Name of Seller Sian Date(MM/Dofl'n ) 7UY ' F_ flQLE&- oshua N. 1 AorgI V Leos appears on conveyanced ument Buyer ,Name as appears on conveyance document i. 42 4)i f &k.-- ali —t Adtyess(,'.umber anndd {{//II4 / L N ee/l , 17 o Address(N tuber and Street) UUQQ / l`L/ (/ City Since,and ZIP Code City;S e,and ZIP Code OF THOSE uoty ��`Y.ESSS NO ' ITION YES NO CONDITION \\l y/^ El1.4Vill this property be the buyers p Imary ❑ 3. Homestead /7� residence? Provide complete addr s of primary © 4.Solar Energy Heating/Cooling System residence, including county: Id (.0 ( e - - Ocx S ❑ 25.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device 00.. 1 -LO- I-S.A.) LI-) (6 G ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be Is this property a residential rental rty? vacated for this residence? If yes,provide ❑ 2 9.Would you_t_e o 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) City,State ZIP Code '-,County Primary property owner contact name E-mail Number License/ID/Other Number