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219 N. Hart St.. PO Box 13
iress (Num6er nnd Sr'ee[)
. ceton IN 47670
City, Smte, ond ZlP Code
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Sel/er ]- Name asappears on ronveyanre dacumenr
. : 1 . . . . . . > .. • _ _ - .4 �.
TIf�C
Hall. Partenheimer & Kinkfe
Campany
E�mail
. . .. .. ♦ � ' . . �,ST'.•ti 'r . . y . ._ . . . .
KarPn Kay Mr.CandlPSs
Seller 2- Name as appeors on conveyanre document
1611 Rrenhvnod Drive I 1611 Brentwood Drive
Addres (Numberand So-eetJ Address (Number and So-eet)
Ciry, Smte, and ZlPCade
PrincPton.IN 47670
Ciry, Smre, and ZlP Code
$ ��� �
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance w� IC 6-1.1-5I.5, "Real Property Sales Disclosure Act".
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SignaalreoJSeller SignaNreofSeller c
R Mark MrCandlecs N�l 3 �l D Karen Kav McCandless `f�(3 ��G
RinredA'ameo/Sefler SionDatefHM/0o/Ym'1 Pnn[edNameo(Seller SinnDatefMM/DD/YYn9
Buyer 1- Name as appeors om m�veyanm docvmen[
Addres (Num6er and Streer)
FYALti`>ITEMS.THAT.APPLY ".�"=
Buyer 2 - Name
Princeton. IN 47670
THE SALFS DISCI,OSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCf10YS FOR THIS PROPERTY. IDENTIi'Y ALL OF THOSE THAT APPLY.
�✓ � 1. Will this property be the buyer's primary C
residence? Provide comple[e address of primary
residence, induding county:
1611 Rr nhvood Drive
Addres (Number ond Stree[)
Princeton.IN 47670 Gibson
City. Smre ZIP Code Caunry
�✓ � 2. Does the buyer have a homestead in indiana to be
vacated For this residence? If yes, provide
complete address of residence being vaca[ed,
induding county:
745 S. Deerhaven Drive
Addrea (Num ber and Street)
Princeton,IN 47670 Gibson
City, State ZIP lode Counry
4. Solar Energy Heating/Cooling System
� Q✓ 5. Wind Power Device
� �✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geo[hermal Energy Hea[ing/Cooling Device
� �✓ 8. ts this property a residenrial rental property?
� Q 9. Would you like to receive tax sWtemencs for this
property via e-mail? (Provide contoct injormotion
6elow. Please see instrucdons for more information.
No[ availa6le in all coundes.
Q�1(/��a-c�-3oa-cr�.�i -�a�
8rock ^ Sievers
E-mail
Under penalties of perjury, l hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e 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 and Drive�'s License/Other numbers are no[ necessary if no Homestead Deduction is
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Las[SdigiGSO(Buyer]Driver's S[ate LastSDigiGSOfSocial5eturityNumber LastSdigiuo%Buyer2/SpauseDriver's Smte LastSDigiGSOfSociolSecunry
License/ID/OlherNum6er Num6er License/ID/OtherNumber