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� 1\DIA�'A SALES DISCLOSURE FOR�I
PATRICIA KOLB BROADWAY TITLE, IVC.
SDF ID 26-2009-7000376
CIOSING MANAGER
1 `� P�ee �
226 W BROADWAY BROADWAY TITLE, INC.
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Cim, Srure. ary17JP Code Tefephone,Ymnher E-moi!
�. SELLER(S)/CRAi\TOR(S) .:', .- - �'' ' . - -
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LARRY 8 HOOVER
Srllv -.Van�c m appnv� un romn�.vse duvme..r
2089 N SR 65
PRINCETON, IN 47670
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LIZABETH D HOOVER
.S(�ilf - ��'OI�I¢OS �]J1F¢6R OII [M4'PITI/IC¢I�qLIPCIII
2089 N SR 65
AdAreu (A'umbrr und.krecr�
PRINCETON, IN 47670
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Jnder penalties otperjurv, t hereby certifi� that �his Sales Disclosure, to the best of my kno�cledge and belief, is true. correct and
�omplete as required br law, and is epared in dance with IC 6-1.1-5.5, "Real Propern� es Disclnsure :�ct".
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Prm:ed h'ame ojSe/G/� $ign Dme /.ILtYDRR}yyj Printed.Vame ofSelfe. rs� nare �,u:kmnmrr�
JAMES JR H KOLB
8ym � A'amr ar apyc:vs on camn�ance docvnrc�u
' 494 E OLD PETERSBURG RD
.Idrbeu (,\u�Mer unJ Strre+l .1Q�M1ev /.'�umhrr mrJ3irer11
PRINCETON, IN 47670
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TelephmeA'runM . E-mai! Tefryhone,VUmFv E-mai/
r I. \Vill ihis property be ihe bu}•er s primary residrnce? Provide compi te
address ot primary rcsidcncc, includine county:
2089 N SR 65
ae�u n��. �,ds...r;
PRWCETON, IN 47670 Gibwn
Cin'. Sm:e. mr<fLPCaJr Connn
r?. Does tha buyer ha�r a homesiaad �o be cacuted for ihis re;idence? 1(
yes, pmvide completc address of residence vacating, includin_ counry:
,Iddrcu (4umh+arrd Sinr+!
Ciq•. Sme, a�d LP Code Cormy
IDE�I'IF1',\I,I.OF TIIOSE'PII,11'
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. ar nerey Heatine%Coolinc System
r J. ��'ind Pou•er De��ice
("" 6. Hydroelectnc Poaer Decice
r i. Gcothcrtnal Enrr�� llcatine'Cooline Dcvice
r 8. Is this propem• a residential re»�a!-��ay`
r 9. \\'ould }•ou like to recic�•c tas sWteincnB tor this
c-mail?!Pr �' acrin%nrmorionbc(oM•.Plrasrse�
more injormalian. :\'or woilr.hfe in oll rouiures.l
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UOOP� PP031[IBS OI Pfffll�\'. 1 112f2OY CPlIIIY If18I IIIIS .191PS UISCIOSO�P. IO IfIP DPSI OI IO)' FfiONIPQeC �110 � CL
required by law�, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Proper[r Sales Disclosure AcC'. (\ote: Spouse
and DrirePs License/other numbers are nut neressary if no Homestead Deduc[ion is being �led.)
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