Homestead_Pettit/
1\DIA\A SALES D15CLOSURE FOR:�i
SAMANTHA CUTSINGER BROADWAY TITLE, INC.
SDF ID 26-2009-1000852
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226 W. BROADWAY BROADWAY TITLE, INC.
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PRINCETON, IN 47670 (
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;. SELLER(S)lGRAi\TOR{S) �...• � . ' . - �" � +" ' , .. z "' - - — -
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ANGEL MANN ARBITRAGE MANAGEMENT, LLC
Se:lu -.Yame as appersn on mmevrsrrce docvmenr Srllcr -,YOme ar ap{�e� on convnxvrce davme �
52718 LAKE PARK DR.
Ad,berr (.tivmlrradStrca/ AdLen (.�'umberaru�lYrcct/
GRAND BEACH,M149717
penalries of perjurc, I hereb}� certif�• that this Sales Disclosure. [o the bes[ of mr kno���ledge and belief, is true, correct and
?e as reg�red by� la�v �is prepared in accordancs ��ith�IC 6-1.1-5.5, "Real Propern• Sales Disclosure Act".
LANCE PETTIT
Signmure o%Sef(er
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Sign Dmr /.IL1f�nD�l'YJ I Pdm�dRame of5dle. Sign Da�e (Af:1l�DDnl'Yn
�l4t�C£NiER ST.
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PRINCETON, IN 47670
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f11E ti,U.ES DISCLOSUNG FOR?i ?I,U' BH USF,D TO APPL1' FOR CHR'I',
r I. ��'ill �his property be the buyer s primary resideoce? Pro�ide c p ce
address uf primary rcidence, indudine county:
4716ROWNLEE
AdLrss (.1'umbercn.i5vrrti
PRINCETON, IN 47670 Gibmn
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r 2. Does ehe buyer have a home;tead to be vacated for this residence? I(
yes, provide complete address of residenee vaca[ing, includin� counp�:
Addrers (:VU. manJStrerU
Cip•. Srare. �71P Code Camqv
requirrd b)' law�, and
and.Driver's Liceqse,
Bip�o. A'ome as appears an ewrvnmrce docvmer.t
CirytSratq onALPCodr
SUCI'IONS FOR T[IIS
r; 3. Homes[ead
I:R'I'Y. IDF.\TIF\' AI,I.OF
; �. ere}' Heatin�.�Cooling System
r: 5. Nind Po�ver Devi[c
r�, 6. Hydrceteceric Pou�er Device
r, 7. Gmthertnal Energy Ilcmin��Cooling Devicc
r� 8. Is this propem� a residcntial reo[al properp�?
r 9. \VOUId }•ou like to recieve tas statemzncs for thi� propem• .ia
e-mail? (Proride comm� inJ'ormarion be(ow. Pttase see the
irts��uuions jor more ii formafion. :VOr woiln6le in oll comvies.j
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Un'. 1 tlefeb�' cel'�I��'tlla� lllls Ja1PS UISCIOSUfe. [0 [�P bPSt OI m)' knoNlPtlge a00 DPllel, 6 VuP, fafleCt antl cOmPIPIP 95
�repared in accordance sri[h IC 6-I.1-5.�. "Real Property Sales Disclosure Act". (\are: Spouse In(ormudon, Social Securih'
r numbers are nut necessan� if no Humestead Deducdun is being filed.)
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, YY/ PriaNS'umeo/Bv�r. SignUaee/Af.N/DOR7'YYI