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INDIANA SALC3 DISCLOSURE FORM SDF ID: '�� Pa e 2
D.PREPARER . '
J. Robert Kinkle Attornev
Preyarel o/lhe Sa/a Disdmurc Fo�m Title
PO Box 13. 219 N Hart St. Hall. Partenheimer 8 Kinkle
Addrrss (Num6rr ond Street) �amPa�Y
Princeton IN 47670
E-mail
E.SELLER S GRANTOR S
AnAraw R Davic Stari A. Davis
Shcer 1- Name os appmrs on ronve)nnre daavmmt Seller 2� Name as oppears om m�veyonce dacumrnt
1704 c Main Sh ..t 1709 S Main Street
Addrecs (Number ond StreeiJ Address (Numlrer andSlreelJ
Prinrrton IN 47670 Princrton IN 47670
E-moil
Under penal[ies of perjury, t hereby certify [hat this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as requireJ�d by law, and is prepared in accordance wi[h IL 6-11-S.S, "Real Pro er[y Sales Disclosure Ac[".
��.._���I/� / i � �/. �T�. G� C1 �C ,. 9 Qr
ignohr� Signatureo/Shcer
Andrew R Davis 5��i —�s� )� Staci A. Davis �-�-i-� -�-
RintedNameo Seller SionOafe u!1/DD - eUNarrieo Si nDOle u.u/OOM
F NTEE S- APPLICATION FOR PROPERTY DE GTIONS- IDENTIFY A ITEMS THAT APPLY
Br nt . Hull Christ L. Hull
Bvyerl-Nameosappen nronvtyancedorumenl m�er2�Nnmeas ^ nmmryunmdocumenl
. roa w St. 7 E. Broadwa St.
Address(A'umbvand5treetJ Addres � d5neetJ
Princeton IN 47670 Princeton.IN 47670
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H�moil Email
TNE SALFS DISCLOSURE iORM MAV BE USED TO APPLV FOR CERTAIY DEDUCTIORS FOR THIS PROPERTV. IDEYTIN dLL OF THOSE TNdT ,1PPLV.
YFS NO CO\'DITIOY I CO� T,
✓� ❑ 1. Will chis proper[y be the buyer's primary I � ❑ 3. Homestead �
residence? Provide complete address of primary , o ar Energy Heating/Cooling Sys[em
. residence, inciuding county: �.
7704 S Main Street ❑ ❑✓ S. N md Power Device
Addr¢s�Num6e�and5uree) ❑ ❑J 6. Hydroelec[ric Power Device
Princeton. IN 47670 Gibson � Q 7. Geothermal Energy Heatin�/Cooling Device
Ciry.SmleZlPCOde LovnN
Q � 2. Does the buyer have a homestead in Indiana to be � ❑� $� Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive Cas sta[ements for this
complete address of residence being vacated, properry via e-mail? [Provide conmct in�ornmtion
induding county: below. Please see instructions for more in�ormation.
611 E Broadwav Si nb[ availoGle in oll counties. /� 'Q
Address(Num6eiand5ueetf a�" I���� 3i>1- 006 •►$ —VCiO
Princeton, IN 47670 Gibson Bram S. Hull 8 Chrisry L Hull
City, Smre ZIPCode Counry.
Pnmap�proyerryownermnmcmame E-mail
Under penalties of perjury, t hereby certify that this Sales Disdosure, to the bes[ of my knowledge and belief, is true, wrrect
- and complete as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary i(no Homes[ead Deduction is
bei filed �
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Signamreo(Buyerl _Sig qFuT/rfB )'er2/Spouse
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Ain[ed o Nameo(Buyeri Signib[eWN/DO/Y)'YI) PdntnlLep
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Lirense/ID/O[herNum6er . Number Litense/ID/Od�erNumber