Homestead_Weiner. �
�. t\DIA\A S.\LHS DISCLOSURE FOR?I SDF ID SDO ID 468869 Pa�e 2
D.PREPARER
Kimberty A. Levris OKce Manager
�R'tyarer o/[he Sales Oisdasvrc Form TiUe
226 W. Broatlway Broadvray Title, Inc.
Address(NUmMroiMSVC�etJ [ompvny
Princeton, IN 47674
E. SELLER S GRANTOR S
Robert Scori Partenheimer
Selln 1- A'ome vrapyeors om m�vryvnae Jocvment Shco7 � Nume as appeursw mnvewnre da'vmenl
712 Zimmerman Dr.
Address[NUmberartdSUrrQ AEdr�(A'umberandSvttQ
Princeton,IN 47670-
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Under penalties o(perjury, I hereb certify [ha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comp te as quired by la� ,�and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disdosure AcC.
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Spn ur ofj�Itcr . SignamrrojScller
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YERS GRANTEES-- LICATIONFORPROPERTYTAX�DEDUCTIONS-7DENTIFYALLITEMSTHATAPPCY
James M. Weiner
Buyerl�Nomeasoppenrsemm�v documen� Buyer2-Nameasapyearsanronve�nnredacument
S650E
dddrees(Numberand5[reetJ Addr¢s(,YUmberandStmQ
Frandsco,IN 47649-
City.Smte, and ZIPCaEe Ciry.Slare. and ZIP Lole
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TNE SALES DISCLOSURE FORM MAY BE USEO TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IOENTIFI' ALL OF TNOSE THAT APPLY.
YFS NO [ONORIOY NO COtiD IOY
Q ❑ 1. Will this property be the buyer's primary �x � 3. Homestead
residence? Provide complete address of primary , olar Energy Heating/Cooling System
residence, including county:
7219 S. CAROL AVE. ❑ Q 5. �Vind Power Device
AAdren(Num.6erond5v¢[J � Q 6. Hydraelec[ric Power Device
Princeton, IN 47670 GIBSON
Ciry,SmceZlPlode co��ry � 0 �� Geothermal Energy Heatlng/Cooling Device
�� 2. Does the buyer have a homestead in Indiana to be � 0$� �s this properry a residential rental property?
vacated for this residence? If yes, provide ❑ Q 9• bVOUId you like [o receive tae swtements for this
complete address of residence being vacated, propetty via e-mail? (Provide contact information
induding munty: be(ow. Please see instructions%r more informadon.
Not ovai/able in all counties.)
�ddreas (h'vm6a ond5vicet)
(a-l�-i3- afly a23 s��-o�g
Ciry, Smte LPCade Counry
Pn'marypmperryownerconma[namr f�mnil
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my kno�vledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 64.1-5.5,'Real Property Sales Disclosure AcY. (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduction is
being filed.)
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