Homestead_Forshee[NDIANASALES DISCLOSUREFORM SDFID:
D.'PREPARER s �:c,. �':` -t + � _ . . _�.'4'. t .. ra. .._ .
7820 Ea le Crest Blvd Ste 201 Reqional Title Services
Addres(A'umbera�5beetJ
�E:���SELGER S GRANTOR S �_` � ' ` � �� - ` � �� '� �� '� " -
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Brent R Artnita9e 6Rgie Arm'tagr
Srllrr 1- h'ame ¢s appevrs om m�veyance documen[ Seller2 - Name as appears on rome)nnce dorumme
59'I9 F 1400 S
Addreu (Numbrr ond Soee!)
5�77 F t'�00 G
Address (A'umber and 5[rm[)
FvancvillP IN 47725
Under penalties of perjury, t hereby certify that [his Sales Disdosure, [o [he best o( my knowledge and belief, is [rue, correct
and co et �as e u�red b 1� nd is prepared in accordance wi 6-1.1-5.5, "Real Pr erty Sales Uisclosure Act".
f��/iCe+%�S`�. - -'"
' Si naareo Seller �
Agnamreo(Seller � H �
Rrcnt R Artnifa9P �//���� I . .
Prfn[rdNamea(Sellm Siqnlb[eIM.N/DD/IYYYi Pdntedh'ameofShcer 9anDa (.NA/DDM}l1
�f. BUYE�R� S� GRAYTEE S-'-'ABPL'ICATION�F,OR.PROPERTYrTAX�.DEDUGTtONS'-'1DENTIFY ALL��ITEMSeTHAT APPLP-�'.;'. '_.;'-- '� _:.'�.
M'rnaPl W Forshee �annifer K Hirsch-For�hee
Buyer ]- Name � appears on romrynnw da�vmrn[ Bvyn7 � Name as appears on ronvry�anre dxumen[
7720 Lanvard Rd - 7720 Lanvard Rd
Addras (Number and 5[rcet) Addre.s (Number and Shee[]
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAiti OEUURIOYS FOR THIS PROPERTV. IUE�TIFY N.L OF THOSE THAT APPLY.
�� 1. Will [his property be[he buyer's primary
residence? Provide complete address of primary
�� I��re�nGe�including county:
�'�a%i�mi%rifGil� 47�a� .��v
Ciry.St teZlPlode Counq•
�� 2. Does the buyer have a homestead in Indiana to be
T vacated for this residence? Ifyes, provide
complete address of residence being vaca[ed,
induding coun[y:
(A'um6rrvndSVeeQ
CIry.StaceZlPlode lovnry
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3. Homestead
4. Solar Energy Headng/Cooling System
5. Wind Power Device
6. Hydroelectric Po�ver Device
7. Geothermal Energy Heating/Cooling Device
8. Is [his property a residential rental property?
9. Would you like to receive tax statements for this
property via e-mail? (Provide con[oct injormatlon
6elow. Please see instructions%r mare informatian.
Not nvailable in all munties.J
.
/I �II � � I �
namt
E-mail
Under penalties of perjury, 1 hereby certi(y that this Sales Disclosure, to [he bes[ of my knowledge and belief, is [rue, correct
and complet s required by law, d is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse mfo /aJ/{'on, Social Securi a�d Driver's License/O[her numbers re not necessary if no Homestead Deduc[ion is
bi/ii �f� ///.�. �� � M.� � 7�JU-� � iR�' ,