HomeMy WebLinkAboutHomestead_Ivy1\DIA\A SALES DISCLOSIRE fOR�t SDF ID 26-2009-1000388
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SAMANTHA CUTSINGER BROADWAY TITLE, INC.
226 W. BROADWAY
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PRINCETON, IN 47670
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BROADWAY TITLE, INC.
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BEVERLY D KOLB POA FOR MARCELLA WINKLER
Scllv - h'ame as oypeaa on rnm�mwrce dcevme J Sr!!e� -.Vame ai appearr on canvevnnre davmeru
921 S. HALL ST.
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PRINCETON, IN 47670
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Jnder penalties o( perjury, I hereby certifi• tha� ihis S:�les Disciosure, to the best o( mr knowledge and belief, is true, con•ect and
�omolete as required by la�c, and is prepared in accordance ��i[h IC 6-LI-5.5, "Real Properh' Sales Disclosure Act".
signe+u.e o\\� . � � s'igrtarure oJ Srrrn
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ONS AND CREDITS -�IDEN'CIF�P ALL ITC�iS�'PFIAT �PPL1'_ '
AMY E IVY
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$L5 S. HALL ST.
PRINCETON. IN 47670
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fllE S.\I.ES DISCI.OSURL FOR?I ?I.\l' BE USF.D TO APPLI' FOR CENIbU,'
r I. \1'ill lhis ptopert}• be Ihe buyds primary resideece? Provide co�
address or"primary residence, includine counry•:
921 S. HALL ST.
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PRINCETON, IN 47670 Gibwn
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r?. Does thz buyer ha�•e a homestead to be vacated for ihis residence? If
yes. provide complerc address of residence vacating, includine connry:
AAiren (:\"nm5nm�d5rreeq
Cy�. Sn�q o�d LP Code Cw�nr
Bym-!.'omc as aypc<vs an cnrrvnvrcc docvmeru
Addmss (.�5�mbe.mid5trem
Tefqhone Numbv E-mai/
r, 3. Homestead
. o ar uerey Hcariog�Cooling Sys�em
r; 5. R'ind Power Device
(—; 6. Hydrceiec�ric Power Device
r� 7. Geothermal Energy flca�ing�Coo�ing Device
r 8. Is chis propem a resideniial ren�al properq?'
ri 9. Would you like ro recieve �as statementc for this propeny via
e-mail? (Proride comm� ii fo�marion below. P/ease ser the
irutrunia�s (ar more informalion.:VOt m•ai!eble in aR rounties,l
UnOer penalttes ot per)un'. 1 nereD)' certlly tnat tnls Sales Ulsclo5ure, to ine Uest ot mV knoHtease antl nrlieL �s [rue, correct ane complete as
required br law�, and is prepared in accordance ei[h IC 6-1.1-5.�, "Real Property Sales Uisclosure Ac[". (\o[e: Spouse Informa[ion, Social Securin�
and Dricer'S License/other numbers are nut necessarp if no Homesread Deductiun is being fileJ.)