Homestead_Hyneman.�
INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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iD..PREP,ARER' •. 'r. � 4S� s' i �.�-':3fe�<�5.�''�''�+'� �?`o�, ,.. ,.�.. �. � , rt"5' -6' � �s _M^ iy .�...� �(� !_$-��,a.-r_ �'.a
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SHANNONLIBBERT MANAGER
� Preparero(Ne Sala D'¢dasure Fortn Ti4e
03 THEATER DRIVE REGIONAL LAND TITLE
,ddras (Num6er ond Stree[)
mail
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CHARI FS H CONF
Seller 1- Name as appmrs on convryanre document Seller 2- Name as appmrs on ronveyance docummt
9�3 S PRINCF STRFFT
Addrax (Number ond Street) Addras (NUmber and Street)
PRINCFTON IN 47670
Ciry, SrutG andZlP Lade Ciry; Sm[e, andTJPCade
E-mail Te/enhoneNumber E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is irue, correct
and c mplete as e ui �d.is_pcepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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Sg Nreo (`" SqnaNreofSeller
CHARLES H CONE �/�" ��I
RintedNameo(Seller SianOatt Mx/DD PnnredA'ameo Seller SianDarelH.v/Oo
':F�' -G S�'-_`AP.P.LIGATIONIF.OR�P,ROP,ERTY�TAXDEDUGI'IONS'7DENTIEY.AISLFITEMSbTHATAP.PLY.,`:"� �- ,�'4�°-.��,
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Buyal-Nameasap ronvryancedocvment Buyer2-Nameasappearsonronveyoncedocument
RINC TREET
Addraz und5treetJ Addr¢s(A'umberond5bee[J
PRINCETON IN 47670
E-mail Tele haneNUmber E�mail
THE SALFS DISQOSURE FORM MAY BH USED TO APPLY FOR CERTAIY DEDUCfI0Y5 FOR TNIS PROPEftTY. IDENTIiY ALL Oi THOSE TNAT APPLY.
YFS NO COYDRION NO CONDRION
Q � 1. Will this property be [he buyer's primary �✓ � 3. HomesTead
residence? Provide comple[e address of primary �nergy Headng/Cooling Sys[em
residence, including county:
913 S PRWCE CTRFFT ❑ Q S. Wind Power Device
Add�s(NumberandSVee[) ❑ ❑✓ 6. Hydroelectric Power Device
PRINCETON IN 47670 GIBSON � Q 7, Geo[hermal Energy Heating/Cooling Device
Liry, Smte ZlPlode Lounry
� � 2. Does the buyer have a homestead in Indiana [o be � ❑`� g� �s this property a residential renWl property?
vacated for this residence? Ifyes, provide ❑ ✓❑ 9• �/'�ould you like [o receive ta�c statements for this
complete address of residence being vacated, property via e-mail? (Provide conmct informadon
including county: 6elow. Please see ins[ructlons for more informadon.
Notavailable in all coundes)T J6a �
Addres(A'umberond5veet) ��� /� /��/�a ��Qd ' �.1//
APRIL HYf EMAN NA
Ciry, Smte LP lode lounry
Rimaryproperryownermnmaname E-mall
Under penalties of perjury, l hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is trve, corred
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security aud Drive�'s License/O[her numbers are not necessary if no Homes[ead Deduction is
bein/g/ filed.J
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s'S(q+iEmreofBvyer] Sgnawreo(Buyerl/Spovse
iRll HVNFMAN � �� � //
Los[Sdjgi[so�Buyer2/SpouseDriver's Srate LastSDigiGSOfSxialSecuriry
License/10/OfherNum6er Num6er Lirense/ID/OfherNumber