Homestead_KinderI\DL�\A SALES DISCLOSURE FORAI
D.PREPARER
Samantha Cuisinger
� Rtyarrrofthe$IesOudosvreFOrm
AJJrese (h'umber mM Svenf
SDFID
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Broadway Ltle, Inc.
COmponj.
$DOID 721838
Page 2
Pnnceton, IN 47670.
E.SELLER S GRANTOR S
Keietsu Nishimura Bonabeth D Nishimura
Srller 1� Name es op{rran om m�vrynme daumrm Seller 2- Nume m upprvrs w mnvnvnre dw�ument
205 Hawthome Dr. 205 Hawt�ome Dr.
AJdrpzs(NumberandStneQ AEdrox/NUmberand5yeet) '
Pdnceton, IN 47674 Princeton, IN 47674
Ciq', S:ote. and Z1PCOde Ciry, Sm[c, nndZlPCode
i�/A
Under penalties o(perjury, I hereby certify that this Sales Disclosure, to the best otmy knowledge and belief, is true, correct
anA /c/omplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
f( i,(2�.c- /l�oTllit^LLi�I-/. �•�,n.�<[Z� �CY . %l,i-a/�-r� �c.u��-�-
�,qnvmreafSdkr � Signomreof5eller
Blake A
eirve� 1
319 W.
�
Princeton,IN 47670-
Ciry. Srate. and ZIP CoEe
ZJ/� �nA�
tTYT UCTIONS-fDE
Brynn R Kinder
Bvy¢r? - Nvme as
N
AAdras(Numbrrond5treer]
Princeton,IN 47670-
Ci.y.Sm�e. and ZIPCode
mme� ncedocumenl
THE SALFS DISCLOSURE FOR4 MAY BE USED TO APPLY FOR CERTAIN DEDURIONS FON THIS PROPERTY. IDE.YTIF\'.1LL OF TNOSE THAT APPLI'.
x❑ � 1. \Nill this property be [he buyer's primary
residence? Provide complete address of F
residence, including rounty:
205 HAVJTHORNE DR.
Address (NUmber cnd Strcro�
Princeton,IN 47670
Ciry.5ma21PCoCc
GIBSON
counn
xQ � 2. Does the buyer have a homestead in Indiana to be
vacaced for this residence? If yes, provide
comple[e address of residence being vaca[ed,
induding county:
319 W. SPRUCE ST.
Addres (A'umber and5uttt)
rinceton, IN 47670
Ciry.Smtr ZfPCWe
1F5 NO C
Qx ❑ 3.
lt i 4
Heating/Cooling System
� Q 5. bVind Power Device
� Q 6. Hydroelec[ric Power Device
❑ Q 7. Geothermal F.nerey Hea[ing/Cooling Device
� Q 8. Is Ihis property a residen.ial rental property?
� Q 9. 4Vould you like [o receive tax scatements for this
property via e-mail? (Provide rontnc[ informorion
below. Please see instructions%r more in(ormation.
M1btavailable in all counties.J
GIBSON �� _ ia -o� - ��- oo3. i7o -�a�
Counry
Pnmarv nmoe�tv o�mu mr.ma nume E-mail
Under penalties o( perjury, I hereby certify that [his Sales Disclosure, m Ihe best of my knowledge and belie(, is [rue, wrzect
and comple[e as required by law, and is prepared in accordance wi[h IC 6-L1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduction is
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Los 5 dlgiu oj Buyer 1 Orlver's 5[o[e Lasf 5 Digifs
Licrnse/ID/Other Nember
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Xumber License/lD/OrherNmnber