Homestead_Fontanillas (2) /17
SALES DISCLOSURE FORM SDF ID Page 2
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aylia Odesilo Lien Release Specialist
' Preparer of the Sales Disclosure Form Title
241 E Saginaw Hwy First National Acceptance Company
Address(Number and Street)
E-mail
;E.S•ELtE'lltsi GRANTOR Sly ) +. « 3+K'++1 'na yt ,;t cl^f�:?,X�ti .ww17;1 Z 7 7!% ` � �r,;�, •s u 4 .aM ;�«c.
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First National Acceptance Company
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
241 F Saginaw Hwy
Address(Number and Street) Address(Number and Street)
Fast Lansing. MI 48823
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 comple • as required by law,and is prepared in accordance with IC 6-1.1-5S,"Real Property Sales Disclosure Act".
Signature ofSeller i 1
Signature of Seller
Adrienne Hanson,VP of FNA
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
icati,E*Vr'd MO 0'S)If PROPERTY T`AXOEDU,CTIONS.—IDENTIF,YfAL ;; . `
G ( 6 ','k i ns; . '.fx
1, l. n ti %1.tr/
Buyer AName as gReers conveyance document Buyer 2-Name as appears on conveyance document
Address(Number aryl-Street) Address(Number and Street) JA 0
2020
MINLL�TO ,. I
. E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION x . YES NO CONDITION
❑ 1.Will this property be the buyer's primary [D' ❑ 3.Homestead _
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county:
7�1 �'(,`-6{ ❑ 5.Wind Power Device
i 44dress(Numb augStr et) iJ ' ❑ 6.Hydroelectric Power Device
n•IN Ly I .4.1 ' ��•5 t4 ❑ 12 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 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 Er ❑ 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.
N tavailable ingall c ntie
Address(Number and Street) 1^12 O.Q�3.6 F 0 7-�_'
City,State ZIP Code ‘ County
l �YR� G, .
Primary property owner contact name E-mail
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