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,� I:�DIANA SAI.ES DISCLOSURE FOR\f SDF IU 26-200&7000282 Pa�e 2
.'PREPARER.� ; �-�- . '. ,, .. :� ; . , , - :.. : . -.. _ ... . - .��` �.
ILISA A CARTER REGIONAL TITIE SERVICES LLC � CLOSING AGENT
Prr�mre� u/ihe SJes Dur/osurv Form T�lr
. 975 MAIN STREET REGIONAL TITLE SERVICES LLC
Ad<lrcss (Nur�crmMSnrrU �m�W�^'
EVANSVILLE. IN d7708 . (
Cin�. Smm. adLPCwir Teleyhone.lbm6n Ermil
SYLVIA NICKLESS
Srllrr -:\'wne m oppzarz on rnmrranrc Aocmnrm
5394 S PRINCETON RD 75 E
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WINSLOW, IN 47598
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LOUELLA ERWIN
Se11cr- A'amr.a appaYS on ro+ne�vncr documem
5394 S PRINCETON ROAD
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WINSLOW, IN 47598
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pcnal[ies of perjun•. 1 hereby certif}� tha[ Ihis Sales Disclosure. lo �he best of my� knowledge and belief. is [rue. correct and
te •�s reyuired by la�r, and is prepared in accurdance ��'ith IC 6-l.1-i5, "Heal Property Sales Uisclosure AcN'.
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- APPLI@aTION FOR DEDUCTIO\S A,\D CRE
GARYLHANCQ
Hurrr-A'wnrmq�yrorsonro� �vonrr✓xumem
1542 E LAKE ROA�
Burer - p4mm �u opyecrs on arnerunm Aucumem
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�TH:�T APPLI`. � � ��
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E-rwil Teleyhone,Vn__M E-wuri/
SALF.S DISCLOSURE FOR\I ?LU' f3F.
r, I. 11'ill ihis property be the buyers priman• residence? Proride c iple�
addres> of priman• residence, includine counry:
7542 E LAKE ROAD
Adlnu /Vwnher a.J S.rn)
PRINCETON, IN 47670 Gibson
Cirv. S�a�e. onJ ZIP CMe Cnmm�
r?. Does the buyer hxee a homrstead to be vacated Cor this residence? If
ye>. procide comple[e address of residence vacating, including county:
aed���:. n�,,,.�, �..; s,..n
FOR TFR6 PROPF,R'P1'. IDE�TIFY AI.I.
r� 3. Iiomcsread
r J. Solar Ener � eatin
r 5. N'ind Po�cer Deeice
Sys[em
r 6. HydroelecMc Poa•er Device
r 7. Gcothertnal Energy Heatin¢/Cooling Device
r 8. Is ihis propem a resideminl rental propeny?
[ 9. lVOUId you likc to recievc tas sta[ements for this proprm� cia
e-mail? (Pi'oride romm� in(n�malion Fefow. Pfrase see d�e
incrnarimaJor more infonnatinn.:\'of ue�oilahle in o!l counties.J .
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Under penalties of perjun', 1 here ' certifc that this Sules Disclosure, to the best uf mc I:no�cledge and belief, is true, correct and complete as
required b�' la� � d is prepared n a ordance �cith IC 6-I.t-5.5, "Real Proper�y Sales Uisclosure Act". (\ole: Spouse Informa[ion, Social Securih�
anA Dri�� icenselother numbers a cesary i( no Humestead Deductinn is- being filed.)
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