Homestead_Elliott (3)' INDIA\A SALES DISCLOSURE FOR,�I SDF ID 2Fr2009-1000418 ,�p � Pa�c ?
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J. ROBERT KINKLE HALL, PARTENHEIMER & KINKLE
N. HART ST., PO BOX 13
PRINCETON, IN 47670
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TIMOTHY MATTHEW WETZEL
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4766 BELL ROAD, APT. 713
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NEWBURGH, IN 47630
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nder penalties of perjury, 1 here � ccrt' y tha[ this
implete asftRvi�Flc b�' la�v, an s pr� ared in�ce
L. ELLIOTT JR.
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PRINCETON, IN 47670
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I.ES DISCIASURE FORJI JIA
� 1. R'ill this propeity be the buver's priman� residence? Pro��idz complete
addmss of primary residenre. including connty:
620 W. POPLAR�A�/[
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PRINCETON, IN 47670 Gibson
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ATTORNEY
HALL, PARTENHEIMER & KINKLE
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Sellrr.:\`omr �u ayptars ar mnre)•once davmmt
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�, to ihe best uf my kno�rledee and belief, is true, correct and
6-I.I-S.i, "Real Properh• Sales Disclosure Act".
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&n�r -:tlomr rss upprurz art: omr�nnte Jwvmem
AAJmss (,v�nnGr und Srrr¢4
Cip�. Stmr. and Z/P Caie
3. Homestcad
�a Col�r Lnerev H�glCooling System
r �. R'ind Po��•er Device
r 6. Hydroelectric Pow•er Device
�— i. Geothennal Enzr�� Heatine/Cooline Device
;APPLY. -�
r 2. Does the buyer have a homes[rad to be vacatrd for this residence? If r$. �s this property a rcsidential rental propem'?
yzs, pro��ide complrce address of recidenet cacannu. includine counry:
r 9. ��'ould you likr to recie��e tax itatements for diis propem� �•ia
e-mail? (Prnvide conmcr rnforniarion belotiv. Plerue see rhe
inctruciions jor mare inlnnnmiarr. :Vo� m�ailable in al! caunties.J
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Citv, Sm+r. nnALP Calr <'ounrv Pnm�m ynrycm�r�ne. comon namc f.-mai/
n er prna ties o pequn•. ere r cert� c t at thu a es isc osure, to t e est o nq� �now' e ge an e ief�, �s true, correct an comp ere as
reyuired by lae�, and is prepared in accordance �vith IC 6-I.1-�.i, "Real Propeny Sales Disclosure AcP'. (\o[e: Spouse Information, Social Securih•
and Driver's License/other numbers are not necessan� if no Homestead Deduction is being filed.)
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