Homestead_Wayman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Tim Shea Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
Thomas Isom Herres Betty Lou Herres
Seller 1-Name as appears on conveyance doocent (t�l Se 1-Naas appears on conveyance document
Address(Number and Street) 2,�� E L vV S a`` 1
�y `I /4 A ',ber and Street)State,andZIPCodecY \cxrO,
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a;.?,a 'Li•code
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Telephone Number &mall
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 requi jd by law, nd is prepared in accordance wi C 6- . -5.5," eat Property Sales Disclosure Act".
c."... r r ilei
Signature of Seller �7 Signature of ler th
Thomas Isom Herres U'Z`t" 0 Betty Lou Herres (V'7k2.10
Prated Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
i . Air �� m A� ta 1i1`1ili °` $rkr,=: k i 4'4�''t: . '
Lance C.Wayman R i
B face as ea on do t a eas appears onnveyancedocument
yl , v�
Address um erand tr t r Nu erandSfreet)
E:Jack IN'�1i l I .
YES NO CONDITION "'
I11110. 0 1.Will this property be the buyer's primary El3.Homestead GIB ON COUNTY AUDITOR CB
residence? Provide complete address of primary Ei . o - g/Cooling System
residence,including county: El WI 5.Wind Power Device
12478 E 100 S
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Oakland City,IN 47660 Gibson ❑ 121 7.Geothermal Energy Heating/Cooling Device
City,State Code County El8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ Ei 9.Would you like to receive tax statements for this •
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information
including county: Not available in all counties.)
Address(Number and Street) A V (9^18 2� r O 0 1 - 0 3 g ^ co 6
Lance C.Wayman