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INDIANA SALES DISCLOSURE FORM snF In. o.,,...
gD' PREP,ARER� �'r :z:� -tZ- � "` M *�.., -' `;- �� r.:-- � 'c;T• :Y ' c- L- t -�`5:: r �:;�`
Robert E. Zoss. Sr., Attu. #1502 -82 Attorney
Preparer of the Sofa Disclosure Form Title
405 N. Green River Road Bob Zoss Law Office LLC \�•J/
Addres(Numberand Soret)
E -mail
'E'SEL`I7ER S',GRANTOR S
Dada Strickland
Seller 1 - Name asappearson conveyance document
8549 S. 950 E
Seller 2 - Name as appears on conveyance document
Addrm(Number and Street)
Elberfeld. Indiana 47619
Address (Number and Street)
E -mail
I Telephone Number E -mail
Ul hereby certify that this Sales Disc losure, to the best of my knowledge and belief, is true, correct
p/rered in accordance with IC b- 1.1 -5.5, "Real Property Sales Disclosure Ad ".
,is
gnamreo fSeller Sjgnature of Seller
Dada_ Strickland �,/j a--
PrintedNameo Seller Si nDare MIDD Printed Name o Seller Sian Dam MM DO
F? .. - iYAPPLiCATIONiF.OR!P,ROPERTY TAXiE EDUCTIONS=Y iDENTIEY ;ALI:;iTEMS.THAT;