Homestead_Elzer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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
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Timothy Dean Thompson
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ,
qN L01.4-lv,JT Address(
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City,State,and ZIP Code ( 1 !--- City,State,and ZIP Code
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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
and colete a required by law, . 1 is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Timothy Dean Thompson 9-10-1(1
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
:F.BINgta/GM1000 APPLICATION;: t poKlPictaltettlAbErgittjONst10810.1 L T S - :T:APP:06:,--. ',:,7:.:: ::';',..--•:::,:,1.`..:7-1
__ _______.-----,,
f Sarah Michelle Elzer---..' \%
Buyer 1 gca....5 ast2ip4pars onoveyartcOocument -... Buyer 2-Name as appears on conveyancVu e
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City,State,
Telephone Number E-mail Telephone Number G\'i7L'S° 1 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES cv/ 0 CONDITION N i YES NO CONDITION
0 1.Will this property be the buyer's primary I Fi- 3.Homestead. ?
residence? Provide complete address of primary 0 Z 4.Solar Energy Heating/Cooling System
c?,0(/ litenccencluc(j!rot(1/
Addressnmber and Street) ( ( - _ ---- Power Device
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we/r6vi -e- , I_ -) celd-4-5 19 2 65:WindHHydroelectric
d roPeol ewc terri c Device
E z 7.Geothermal Energy Heating/Cooling Device
City State IP Code r County
ill , 2.Does the buyer have a homestead in Indiana to be 0 c] 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 Z 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)
i
City,State ZIP Code County