Homestead_Melloy INDIANA SALES DISCLOSURE FORM SDF ID
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Sired)
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The Secretary of Veterans Affairs,an officer of the United States of
America • Seller 1-Name as appears on conveyance document
Seller 1-Name as appears on conveyance document - 810 Vermont Ave,NW
810 Vermont Ave,NW Address(Number and Street)
Address(Number and Street) Washington,DC 20420
Washmgton,DC 20420 State,and 411'Code
St f,and -
—
- 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5,5,"Real Property Sales Disclosure Act".
"rc"ocr svo,snntssa,nuc A.....„...,,,,.e United States of America
V � 07/24/2020
/r/.mob.-Z.-' nagement contractor,Vendor Resource Management. Signature ofSeller
p� "�"' rem"" 10 CAR.36.4345(f)
i Printed Name ofSeller Sign Date(MM/DD/YYYY)
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R..�bYERGS�.JyGRAaTtI•`ETi(57 AP lti AEI?I I .NATIVAti `I!' AXaDElb:UCtTIONS�.ID'SNTIF�Y:itit fEMt�T.HAtaill`Y-� . fir SOM-6
Candice L .Melloy Brian K.Melloy
Nbm n conveyance document Buyer 2-Name as appears on conveyance document
522 W Sycamore 522 W Sycamore
Address(Number and Street) Address(Number and Street)
Boonville,IN 47601 Boonville,IN 47601
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER .. •'SE THAT APPLY. FILED
X NO CONDITION .:S NO CONDITION Jul 29 2020
El 1.Will this property be the buyer's primary / ❑ 3.Homestead
residence? Provide complete address of primary A= - • -eating/Co -
residence,including county: ❑
2692 S 1250E Q 5.Wind Power Device GIBSON COUNTY AUDITOR CB
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Oakland City,IN 47660 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State/IPCode 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 El❑ IZi 9.Wo nu likP_to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Pro ' ntact information
below.Please see instructions for
or mo information.
including county: Not available in all counties.)
Address(Number and Street) 26-14-29-100-000. 868-006
dice L.Mello Brian K.Mello
City,State ZIP Code County Primary property owner contact name E-mail
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