Homestead_Moyer INDIANA SALES DISCLOSURE FORbf
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PmParer l the Sales Disc:csre Fom. ,�.,.,( C/� e r _
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RGLER S'G�ANTOR S
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derar National /!lord ) _}
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560o Gran/ -ems Pick, seeez'ram asap-pearsancanierrrce.oc en.
Pl+'dress(Number acd$c.ye) I B �:�,Me�e_rcer Belan er
ano TX 7502 N i A arsaR aft"tea iife
at ona
s- �, Mortga a Associl_•licas Math.: ation
under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my
and comple as required by t; d 1 prepared In accordance with It 6- , II
IM/yJ_ 1.1-;,5 °Reapro knowledge
Sales Disclosure Attorrect
raw a rserer i By: Mercer Belanger
e Fit7r�1 1re 't'
Pratt1Mane a/Seier t' I Se •annis Mae
fi BtT'E • - _ S n Lbw M! erri Ali 1,1�.K c .,.
!GRANTEES 9PPLICATION;FORpFOt YJS...aTAX°Dj [)UC m 4•T N ;IDEkTIFTALUITEJLS- Dare(Sauna
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Styes]-Name cis an-ears oa nreeyeact daynent i - - _/,, � O Q l - I'A /
• CI(� A I )�y 1 L �Ys2.Namza47esrr:n cc.:vr
Adana lumber ndSJ«J 1 rs-•:re ace.-.zr.:
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property be he buyers primary9
residence? Provide complete address of D:imay 0 3•Homestead '.
res d=rice,includ rig c u ty: ❑ 4.Solar Ener 1,%%
et `/.0 rJ ( t u� €y eat ngS��p(y��sys
As'-J(Namtera sd�:) ❑ 2 5.Wind Power Device
W tr 7 f 4 I 0 (� 6.Hydroelectric Power De, a �id�I,V0%
a Z Cade ' t�� P
coun4, ❑ Q 7.Geothermal Energy Hea..... to
❑ 2.Does the buyer have a homestead in Indiana to be ❑ b�ng Device
vacated for this res dence? if •°s, r a. 8.Is this property a Te..S* r r rental property?
completedaddressrtof residence es,provide
ing vide ❑ 0 9.Would you like to rcelve tax
statements for this
inducing county: property via e-mail?
.—��� I4 1 (Provide contact informationinfo.lnatlon
.=irF below.Please see instrucnbns for more informadon..Notav
t del zym a'"
h J so-mg railable in all counties.
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