Homestead_StaggsDISCLOSURE
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CHRISTINA LATHAM TITLE CLERK
'reporu o(rhe Sala Disclosvre Form Ti�r
�3 THEATER DRIVE REGIONAL LAND
..ddr� (Number and SveetJ Company
EVANSVILLE IN 47715
E-muil
(:REGORY S DEASON
Sefier 1- Name as appmrs om m�veyanre document
170 PARKFR CT
Addras(Num6erund5tree[)
FRANKENMUTH MI 4R7'id
Ciry, Sm[e, and ZIPCode
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RnSF (' IIEASON
Seller 2� Nome as app�rs on canveyonce docvmml
170 PARKFR ST
Addr6s (Number and Svee[)
FRANKFNMI ITH MI 4A7'id
Ciry.Srute andZlPCode
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Under penalties of perjury. I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is We, correct
and complete as requ'r d by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Ad".
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1-Name
Sm[e, and ZIP Code
Bvyer 2- A'ame as appears on
Addras (A'umber onG SVeefJ
PRINCETON IN 47670
Ciry, SmtQ and Z1P Code �
THE SALFS DISCLOSURE FORM MAY BE USEU TO APPLY FOR CERTAI\ DEDULTIONS FOR TNIS PROPERT'. IDE�TIFY ALL OF THOSH TNAT APPLS.
Q � 1. Will [his property be [he buyer's primary
residence? Provide complete address of primary
residence, including county:
onF c ue� i CTRFFT
Addr� (Number and SveetJ
PRINCETON IN 47670 GIBSON
Ciry.SwreZlPtade Counry
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address(Numberond5treeq
��e Counry
Q � 3. Homestead
� Q 4. Solar Ener� Hea[ing/Cooling System
� Q S. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Hea[ing/Cooling Device
� Q 8. Is this proper[y a residential rental property?
� 0✓ 9. Would you like to receive W�c statements for this
property via e-mail? (Provide conmct information
6elow. Please see instructions for more informadon.
Not availa6le in all counties.)
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DAVID LEE STAGGS
O.:mon.nm.wmnwnerronmRname Tj�
Under penalties of perjury, t hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete 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 Driver's License/Other numbers are not necessary if no Homestead Deducdon is
beingfiled.] „
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LastSdigi[so/Buyer2/SpouseDriver's State LastSDigi6oJ5acia(Securiry
Num6er Lirense/ID/OtherNumber