Homestead_Cantrell INDIANA SALES DISCLOSURE FORM SDF ID, Page 2
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.LANA C.HARPER CLOSER
Preivser of Mg SCIeS.Dlsvlbr6re Foram Title
.5231 Oak'Grove RI,Ste,A TOTAL TITLE SERVICES;LL"C
Address(lumber and Street) '
E•,Aalr.
.134VIT.13«)/cRANtbil(5) • '�.v.....:f�:../�.�:,,.. Y .....r'. " .' ._ -._...a,.... ..,':e+1. ;..,:f:':Gri f'f... .,i75tk M 1P5.v 1 W: /u.1.'iC'T..tif��h+��
Alit'Saliju - _Elorent S�liii1
Seller_?,-Nantlas appears on conveyancedocdinenD Seller—ame(Isappearronconkancedoculnent•
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cciAddress'(
'1 13 iPie(� WC C, , t ion I- ClaL�r,h C/16 LI TelephoneNutnber B-mad . Telephone Number &null.
Under penalties of perjury,I hereby certi.fy'ttratthis.Sales.Disclosure,to the.bestof my.knowledge and belief,is�true;,correct
and ompleteas required bylaw,and is prepared in accordance-With IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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S(gnadrreolSaRer .S IO 1( ( vl
—7 ,,� S(gpgture ojSofl¢r �
Nit Saliyi i . 1' `2 ' retnt Saliju c7/.
PNntedr0oawof#ller Sian Data'(Yei/o/tTrY) Irinle Nathee/Sellar
'Sign tMN D[IYYYI
ligallatk-S)�GRANTBE(S)r4APPLIGalO.N CpRPROPBR7'4 TA aigD leriONS-:1DE1+J7'IFY:AL 1.IATL 1
Frederick Cantrell traWsg-i#Zitri
tip);(;),- ame appears a ce.doc C' .oyer2-Name as appearson an o `
A (Nu' • n Diet) Address(Number and Street) AUG 1 0 ZOZU
mty,Stotg City.State,anriV.Fcdde
TelephonONutnber S-rnhl! Tele4•hond Number. E-mail'
THE sigs.s.nisci.osugc FORKMAY BE USED'PQ AP PLY FOR CERTAIN DEDOCTIONS.EQR THIS.PROPERTY.IDENTIFY ALLGIleBildiiihagkaiTY A DITOR
YES NO CONDmoN I "YES / NO _AMBITION
'X 0 f.Will thisprQpertybe the buyer's'primary "'Homestead
residetice7 Provide complete address of primary
re i ' :e i glud'' ray: ❑ ® 4,Solar Energy Heating/.Cooling.System
b( ❑ 21 5.WInd'Power•Device
d ( `°"� t / (� ❑ [] .6,.Nyd_roel'ectric Ppwer Device
' G" �` ! °� s 2 '7.Geothermal Energy Heating/Coolingbevice
trty,Smte ZIP Code Councfe
-0 2.D,oesthe buyerbaye a,homestead in Jnd'ianatg be.
❑ E.IS this property a residential reneal'prnperty7
vacated for this'residence? If yes,.p rovi de. ❑ 2 9.Would you like to:rec.eivetax statemnents for°:this
ceriiplete address.ditesiderice being vacated, 'property via e-mail?(Provide contact.tnformotioh
including.county: below•Please.see instructions forrnore.inforihation.
Not.ava(lable in all,counties)
Address((umber and Street) ,
26-1'8 - 13--Lkol-000. 34�--02f.
City,StateZlPCade "County .. '
Primary property owner contact name 'E-mail
( Number Fdcense/lD/Other Number
Cs-vtcAtl
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3 g 10-2420
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