Homestead_Alderson�
�
FORM � SDFID:
I Address(Numbera�� TiTLE SERVICES, LLC
19 N W Fnl IRTH ST STE 500
Ciry,Smre.andZIP��SVILLE. IN 47708
E. SELLER(Sl ZGRANTORfSY_`-=�: �� �:'' �= � ' ' �
Sellerl-Nameasappmrsonronv ncedxument
�i n � ��� S�-
Ad�,�� ^-�� IN �l ?col �
Ciry�
iitle
SeI/er2 � Name as appears on ronveyonce docvment
��'-tnt�
Address (4umber ond SveetJ
Ciry, Srate, andZlPCade
��
E-mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
an�d/ com� le�-t�e a �r uir law, and is prepared in accordance with IC 6- 5, " eal Proper�ty jSales Disclosure Act".
X ..r��0' "� ��-�v-e'�z� I �f�u„ci A/ti'.�-�wi�/J
A'umeas
Buyer 2- h'ame asappmrs an ronve}nnce drcvment
Addr� (h'umber and Saet[J
CiN Smre,andZlPCade
THE SALFS DISCLOSURE FORM AIAY BE USED TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IDE�TIFY ALL OF TNOSE THAT APPLY.
�,❑ 1. Will [his property be [he buyer's primary
residence? Provide comple[e address of primary
103' '..�:^� county:
�} 5 uccl_Nw;� y�
rzs(Nvmber nd5veet)
"�r����c2� 1�1 ��t��� C-,� k�5on
Ciry.5mre2 lode Counry
� 2. Does [he buyer have a homestead in Indiana [o be
.� vacated for this residence? If yes, provide .
complete address of residence being vacated,
induding county:
Add(as (Number and SQeen)
[ounry
� ❑ 3. Homestead
� 4. Solar Energy Heatlng/Cooling Sys[em
� � 5. Wind Power Device
� .� 6. Hydroelectric Power Device
❑�� 7. Geothermal Energy Hearing/Cooling Device
�� 8. ls this proper[y a residential rental property? �
❑'�—'9. Would you like ro receive ta�c statements for [his
property via e-mail? (Provide rontoct information
belaw. Please see instructions%r more information.
Not availobl in all counties)
o�-,b� i9 �-oor..Ta�-aa�
conract name E-mail
Under penalties of perjury, I hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belief, is We, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act". (NOte:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
b1ng��' %� �� �
Pnnted Legal Name o/Buyer I
S{gnanrre ofBvya2/Spouse
PAnred LegaLVame o/By�er2/Spouse
S1911 DOt4 (AIH/00/YYYYJ
I LoscSdigiaojBuyer2/SpouseDriver's Sm[e Los[SDigiuof5ocia15ecunry
Lirense/ID/O[herNumber Number Lirense/ID/OlherNum6er