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I\DI:1\A $.LLES DISCLOSURE FOR\I SDF ID 26-2008-0000019
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. FRF,PARER �' �
AN L. REEVES � AnORNEY
Preparer aJ rhe Sales Disclw'ure Farm Tide
7 76 5. MAIN ST., P.O. BOX 456
.9Adress /,\'umber and Sneril Comprnrv
PRINCETON, IN 47670 (
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e. s�u.ra(s�icka�TOa�s)
SANDR4 JULIAN HALE, PR
Stller -:\'nme ns appears on canre)'ance dorumenl Srller - A'nme as appenrs m� conoermce docmr.en(
119 S. GIBSON STREET
dJdresr ,/.��'umber urul5treerJ .4Gtrrss (�'umber und Sbee+)
PRINCETON, IN 47670 �
F.-mml TtlrpdmmNum6er E-moi!
nder penalties of perjun�, I hereby certifi� that this Sales Disclusure, m the best of mp kno�rledge and belieL is true, correct and
omple�e as required b�' law, and is prepared in accordance wi[h IC 6-L I-55, "Real Propert�� Sales Disclosure Act".
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��nvmse oJ Srllrr �l Siynamrr oJSeller
.Sr1/vnR A vTu.��gN r�R�.� AuG. ��—aooa'
VnmeJ:\'nme aJ Sella Siyn Da�e /77.1f;OD/1'} Y)/ PrinteJ \'�me oJ'Se!!er Sign DnJe (.i/.4L�DU.-YY}Y1
F. BUl'ER(S)/GRA\TEE(S) - APPLIG�TIO\ FOR DEDUCTIOVS :�ND CREDITS - IDE\TIFS' ALL ITE\IS TiIAT APPLY �
VICKI L CHANDLER
Bwer - A'mrm as rsppeors on tonveynnce docmnent Bu��tr - A'nrne as npprars an mm�zpmece doniment
4750 EAST MCROBERTS RD.
.4d�L'us (A'umber aul Slreetl Adrtrus F.\5�mber and Sn'eeq
PATOKA,IN 47666
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TelryhoneA'umber £-r.aJ TeleyhonrXum6er E-muil
I'11F. S�\LFS DISCI.OSURE FOR>I �IAY BE UtiED"I'O APPI.\' FOR CERTAI� UF.DUCI'IOXS FOH 7'1115 PROP4:H'fl'.IDF�"flF1'.\I.I.OF'I'110SE"fIIAT
r 1. \Vill this propem� be thc buver's primary residcnce? Provide r 3. Homestead
complete addrer of primary rz>idence, includine county: �- q. Solar Enerey Heatine�Coolin� System
119 SOUTH GIBSON ST. r�. �1'ind Powcr Devicc
ddd.e,a r:v��mbe��m�dSi�eeq r 5. Hvdroelectrfc PoH�er Dcvice
aRiNCE70N,�a767o �Ig� r 7. Gcothcmial Gncrgy Hcating/Cooling Dcvicc
Citc, Smtr, urtd %/P Code Comqv
r?. Does the buyer havz a homestead to be vacatcd (or this r S. Is this property a residcntial rental propeny?
J rcsidcnce? I(yen, provide complete address of residence vacatine,
including counro:
4150 EAST MCROBERTS RD. �(O ���_��
AArL'ese/\'umbervnJStreetl �G ia-a� d/v �'
PATOKA, IN 47666 Gibson
Ciryt Srnrc. mu! Z!P Code Cawry.
n er pena Ues o pequry, ere �� ceru y t iat t is a es ac osure, m t e est o my� 'no�r e ge an e �e , is true, correct an
comple[e as required b�� law, and is prepamd in accordance �vith IC fi-1.1-S.S, "Real Properh' Sales Uisclosure Ac[".
�. i�n Y� �.�vl M�1Pon�
Signuluie oJ Btrver Sigiennve rrf Niq�e�'
�ie�(i L Chatidler D� )ail.�oo$
Prinmd:Vnme oJ Buver . Sign Dnte (1LWD� Primrd A'mne oTB�prr Sign Ome I.K:tI%DDhY3'yj
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1065
SIAiE f(1RM!!H�0.:/ YNI
iRf.�SU[FA IORV 11A
InJividuals anJ inarrinl aoupin arc limiicd to onc homeacaJ uandaN dcductinn. As the tttcipi of ihis dMuctinn bcconrcs
morc beneficial, thzrc is more incenmr tlun e�er (or homesieml fnuJ. Homesead frami eiu:es higher tac bflis for all: theref;re.
HEA 1334-2CU9 reqvim uapa�tn who nceire Ihe hanesteaJ .undard dNunion io caity dut thry are elfeiMe to mcei.e �be
brnefit and ro p'a'ide aiWitional iJrntii�'inc information nemvn� to allw' cwnn� grnrmmmt w tr:ner monimr homareaJ
filim�. Ifiis infotmation will be AtTN conficeruial and cm only kc aattcud 6� awhorized rounh' o�icials.'Ihe I�.inmrn� nf
Lxal Gm�<mmcm Pivncc will u.e �his infortnation W crcate tmis �lu� ��ill hclp cwnry uffiriaL+ dimfnam humesread iraud.
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T�xoaeer Namr Pru ertc AJdress
Chandler, Vicki �
I 19 S Gibmn �
. nINd767
Vicki Chandler
4150 E McRobeRs Rd
PATOKA IN 47666-9155
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State Parcel Number Leeal Description
X 26-12-07-401-002.373-028 019-02373-OOOLD Pv� 9 PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Ownn 1 Fim Middle las�
�(� ck i � � h��,�� I��--
��g Address (number and s�eet, ciry, s�ete, and ZIP code) � Same as property eddrcss
Socol Sccuriry Numbcr (lan 5 dicits) Uriver's Licnue/SUte IU N�unber (lazi 5 digits) O�hcr (plcuc speciF in Pan 4 Mlow)
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Spou;c FirR Middlc Last
Mailing Address (Number and rirttl cily, sta�e. and LIP coJc) � S+mc u p`epeny addlw
SaialStturil}� humbtt (last 5 digi[s) Drivcrs Liccnsc/Statc ID N�unbcr (1az� 5 digits) Ocher (pl�c spcciN in Pan S bclow')
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_ ' _ ___ _ - _ ' _
Each undersi�ed cenifies, under penalty of perjup•, that the abo�•e and foregoing information is we and colrzct and that he or she is elieible to
recei�•e the homestead standard deduction on this property. Fach undersiened also unders�ands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O�.�ncrl ' Uate Telephone
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Spouu Siguturc Uatc � iclephonc
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