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STEPHANIE MILLER TI7LE AGENT
ReparrraJNe Salo Oisdosure Forn i itle
600 N WEINBACH AVE :d'10 : OREMAN WATSON LAND TITL� L� C
6d�reR (Num.ba anE Strmt) Company
cVANSVILLE. IN 47777 °
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ALFORD P HOUCHINS JUDITH A 40 � HMS
Se/ir? - NamIe� a appearz on ror..nyana dac�mrst SJie-2 � Name a appmrs on snveyonce docJmsr�}
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Under penaltles
and complete as
Addr� (Ncr..bv and Svx.J
�
I hereby certify that this Sales Disciosure, to the best of my }mowledge and belief, is true, correct
�� law, and is prepared in accordance with IC 6-1.1-5.5, "Real Pr,oge�-tv Sales Disdosure Act".
THE SAIFS OISdOSUltE FORM MA\" 3E IISED TO MPLS' FOR CIItTAIN OmUCi IO.�'S FOR
[J� ❑ i. Will this property be the buyer's primary
residence? Provide complete address of prim
residence, induding tounty�:
c31 S (.J. �1N6 S?REET
Aadress (NUmtt: and5va:)
Pli1NCETo.�/, �',✓ y?��o G,eso,.
Jry, smre Z1P CaCe [om:m
❑ � 2. Does ;he buyer have a homestead in Indiana to be
vacared for�is residence? Ifyes, provide
compiete address of residenc=_ 6ein; vacated,
induding counp�:
375 W PWE STR��T
Adares (Nu .nbv cnC Sb'e¢)
PRINCETON W d7670
Gry,S�lSa�dZIPCode .
TFiAT APPL7'.
❑./ � 3. f-iomestead
U �✓f 4. Sol gy Heabng/Cooling Sgstem
✓ 5. Wind Power Device
U ❑� 6. Hydroeleccic Power Devic=
❑ Q✓ 7. Georhermal Ener� Heatlng/Coolina De�ic_=
❑I—' Q 8. ?s this propery a residential ren�l prop=rty?
u Q 9. Would you like to receive [arz sfatementr fnr [his
propercy via e-mail? (Provide contarinformoaon
below. Please see ins�vcdons for more inJormatlon.
Not available in all cauntles.)
Adel¢;(NumSercndSSZ) w/ /� /� /' /�//�
Ciry�,Sm¢Z'PCaCe (�XL./�/O:� /'/O/' (/D�•��/ V 'Q��
lovnc� —�
__ �'+�+M�YP�P�TY�vconmccname �
Under penalties of perjury, I hereby cerrifi- that tLis Sales Disclosure, to tLe best of mylmowledge and belief, is trve, correct
and complete as requ'ved by law, and is prepared in accordance K�th IC 6-1.1-S.s, "Real Property Sales Disclosure Ac[". (Nofe:
Spouse informatlon, Social5ecurity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) �
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