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I\DW�',�SnLESDISCLOSUREFOR�1 SDFID SDOID 471978 Page2
� D:�PREPARER� _ ..:.- .... _.. ,..... -. .--,.-. - - .:.. . _ --�-- .� -. - .._,::-
Pa[tl Kolb Cbsing Manager
Prcyurrojc5e5clesDi[[los+relom i�ck
226 W BroaOwdy &oadway TiUe Inc.
adm��(x,mma,dsv.x) � v^^r
Princelon. M 47674 (
t.�cLCCnla�/�nniv:�vnNV' -.-.•_._ . . _ __',.. __.:_:,__ �-:.�._:.�
V�hllav Deveiopment Gwup. LLC �
Sdi<rt-Namemnpparsonmr:rware:locumc'r Sriln�2-Nvm�a.�iFN'�rzmaa: �m�davrnent.
7350 E 751s[ 51.
Add:ess(NUmirraMSOeer) FClrtn(NUmberanJSlrcctJ
Cartnel, IN 46032-
eohw�eA'um6m '�w(� Td .an.,vumGe• f.mrt�)
Under penalti o u h y erdfy ffiat this Sales Disdosure, to the best of my knowledge and belief, is tne, correc[
and �omgjy��jH� ax�prepared in accordance «ith 1C 6-11-5.5, "Real Property Sales Distlosure AcC.
�
Daniel £
9uyrN -
ACdrea(N�mlera:MS
Princeton, IN 47fi7D
r�e xeme..
�
THE STLES DISCLOSURE FURM W.Y BE USEO
xQ � 1. 4Yil] [his property be che buycr s priinary �
residence? Provide complete addr�ss of prima .
residence, induding county:
912 E OHIO 5T.
Addreu /Numbrr v nd $creeQ
Princeton, IN 47670 GIBSON
G.y, Smtt ZIP(aCr Covnry
�� 2. Does the buper have a homestead in fndiana ro be
vacaced for this residence? IFyes, provide
complexe address of residence being varated,
including county:
ACdres (NUmEU r.ndStrzrQ
Gg.SprcZIPCNe Cnunry
Si�ncareofShcer
2�NOnearnFyeors
J.ddrrn (NUmDer ard Strcrt)
Princeton, IN 47670.
/1/ f�—
�x � 3. Homes[ead
4Snlac.isne:g�fieating/Cooling System
5. WinA Power Device
� Q fi. Hydroelec[ric Pawer Devire
❑ Q 7. Geo[hermal F.nergy HeaUng/Cooling Device
� Q 8. Is this propem a residential renal property?
❑ Q 9. 6VOUld ,vou like to receive tax stacemencs for this
properry via e-mail? (ProviCe contocG informatlon
Gelaw. Please see insuuctions for more in(ormation.
A'otavai(able in all counties.J
�/ - /a-��- /03 -�D���i% ,
ruemmmn rouart nvr..e
Emai!
Under penal[ies o(perjury, I hereby certify that [his Sales Disclosure, to [he best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with 1C 6-1.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse infarma[ion, Social Security and Driver's License/O[her numbers are no[ necessary if no Hames[ead Deduction is
be' flled.
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I.ittnce/ID/Other A'umber
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