Homestead_Joyce INDIANASALES DISCLOSURE FORM SDF ID: Page 2
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Timothy Shea Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Melinda M.Ziliak
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
J4 1 U2 k,Vd/I iy r1- br';
Address(Number and Street) /., I Address(Number and Street)
state,ana iPcoo C'—_ Kit z/v 4L
state,and ZIP Lode
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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.cco/��llplet s rr quireed�jby law and is p pared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature ofSeller
Melinda M.Ziliak d �D 2 O
Printed Name of Seller SI n ate(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
U=I'ER (Slx• 7' 79EE( 1r=APPUiG ATIOlt.Fi.ORPROP R TMTAXiDEDUt [QNSMIOnIRY`TALL''I!13EMSa i'>HA4I?:APPLY:: .M
Kara E.Joyce
Buy - ars conveyance docu ent Buyer 2-Name as appears on conveyance document
d ess umb ran Street r �� q78, ....\ ���^- Address(NumberandStreetJ-CLU1 %.
FOR THIS PR -ER . TIFYALL-O OSE THAT AP Apr 13 2020
YES NO CONDITION YES NO CONDITION iG
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
113 S Fourth Ave
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Ha bstadt,IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
astateZIP code County ❑ Er-g.Is this property a residential rental property?
N. ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
i uding ounty: below.Please see tr-uet' • mation.
v(� ) a -
Not av ' e in all counties.)
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roessmber47 . Im
t 1 1---N Intl(._(1 \
Kara E.Joy a 26-19-31-304-000. 510-009
City,State ZIP Code / 0,..,-1
Number License/1D/Other Number