Homestead_Karaff (4)1\DIANAS.\LESDISCLOSUREFORN SUFID SDOID 1388220 Page2
D.PREPARER
Samantha Cuisinger
R'eparer o/thc Sales Dudosw'e Form Title
226 W. Broadvray Broadway Ttle, Inc.
AdJrm (Num6er and Sneet) Compony
Princeton, IN 47674
Gn, Sm[e. mC IIPCOEe Telephane Number f-mu0
E. SELLER S GRANTOR S -
Edvrard A Mason Donna J Mason
Sriler 1� A'ame urapyevn om m�vqmm Jrcumen� Sella' 2� Nume as uppenn um m�nyun<e du ument
7823 S 10 E 7823 S 10 E
Adaress(NumM1erond5nnt) ACdress(kumberond5[ree[)
FC Branch, IN 4764& Ft. Branch, IN 4764&
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best o( my knowledge and belief, is true, correct
anA complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disc osure Act".
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. UYERS G� EES -APPLICATIONFORPROPERTYT IONS-lDENT LLITEMSTHATAPPLY
Ryan M Karaft Krisiin J Karaft
Bu�wrl�Nmnen nrsnnvunvryancedavmmr: / Buyer2-NOmeosn onranveynncedorumea[
704 S Wllard 4. V�hllard
Addren (Number mdS[rerq dddras (Numbe� andSOeeQ
Ft. Branch,IN 4764& Ft. Branch,IN 4764&
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TNESALFSpISCLOSUREiORMMFYBEUSEDTOAPPLVFORCERTAiNDEDUR10N5FORTNISP Y.IDENTIFI',1LLOiTH HATAPPL\'.
YES NO CONDITION 1'ES NO CONDITIOY
x0 ❑ 1. Will this property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of i� , ar •nergy Heating/Coo�ing System
residence, induding couniy:
7823 5 70 E ❑ Q 5. �Vind Power Device
AAdma(NUm6rrondSVeeQ ❑ Q 6. Hydroetectric Power Device
Ft. BranU, IN 47648 GIBSON � � 7, Geothermal F.nergy Headng/Cooling Device
Ciry.SruteZlPCWr Counry
�� 2. Does Ihe buyer have a homestead in Indiana m be � � 8. Is [his property a residential rental property?
vacated for this residence? If yes, provide ❑ Q y� bVould you like to receive tax statements for this
complere address of residence being vacated, properry via e-mail? (Providecontnctinformacion
induding rounty: below. Plense see instrucrions for more in(ormation.
Not available in afl counties.)
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Pnman ymperry ownrr conma name E-moil
Under penalties of perjury, I hereby ceriiFy that this Sales Disclosure, to the best o(my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcC. (Note:
Spouse information, Social5ecurity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein filed.) �' f/i • a
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Las[Sdigi[safBuyerlDriver's State LastSDi�itsof5ocial5etunryNumher Lasrodigi¢o(Buyer2/SpouseDriver's Sm[e LastSDigiGSO(SotialSerunry
License/!D/OtherNamber Number Litense/ID/0`herNUmAe�
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