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INDIANA SALES DISCLOSURE FOR.NI SDF ID 26-2009-1000385 Page 2
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WPREPARER
PATRICIA KOLB BROADWAY TITLE, INC. CLOSING MANAGER
Prepa r of the Salta Dislorure Form Tidr
226 W BROADWAY BROADWAY TITLE, INC.
PRINCETON, IN 47670 (
F.-SELLER(SYGRANTOR(S)
JAMES, JR. W BROSHEARS JEANETTE H BROSHEARS
Seller - Seller m appears
510 W MORTGON ST 510 W MORTON ST
I Address (Mv.boandS,,,ey
OAKLAND CITY, IN 47660 OAKLAND CITY, IN 47660
Under penalties of perjury, I hereby certify that this Sales Disclosure. to the best of my knowledge and belief, is true. correct and
zomplete as required by law, and is prepared accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Ff,B, GIZANTEE(SY-AQff, T10N, FOR DEDUCTIONS AND CREDITS- IDENTIFYAj,� !TENIS THAT APPLY—
&PAIGE BROSHEARS
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Addre.(.V.mbe,.aSl,M Address fAvmbe, .05aeel,
OAKLAND CITY, IN 47660
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[TDE SALES DISCLOSURE. FORM MAY BE USED TO APPLY FOR CERTAIN D
'FOR TI IDENTIFY ALL OF F1105E'1'Il:x'I'�
rv— I. Will this property be the buyers primary residence? Provide comp) to F 3. Homestead
address of primary residence, including county: f— 4. Solar Energy HeatinglCooling System
811 W OAK ST. 5. Wind Power Device
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OAKLAND CITY, IN 47660 Gi=n rl 6. Hydroelectric Power Device
Ca,. Slwc w,duP Cde co,mn 7. Geothermal Energy Heating/Cooling Device
2. Does the buyer have a homestead to be vacated for this residence? If
f7 S. Is this properry a residential rental property'
yes. provide complete address of residence vacating, including county:
F-i 9. Would you like to recieve tax statements for this property via
e-mail? (Provide contact Please see I
last or more information. Not mai!ahle in aft coon r
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