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MANAGER
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REGIONAL LAND
company
EVANSVILLE IN 47715 _
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JAMES M STINFR
Shca l - Nameasappwnon cnnve)em,rdoermmt
9705 ASR KIRK nRIVF
Addr (Nvmberam!Sae¢)
NEWARK nF 12707
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KARII STINFR
Sege, 2 -Name as appears on conveyance document
cot 11r1R( HFRTFR Pl Ar:F
Addres(NamberandStreet)
AMPRICAN CANYON CA 94503
Gty, Stom and 2JP code
Under penalties of perjury, I hereby certify that 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-,; I: -MS, "Real Property Sales Disclosure Act ".
a sappearsammm>•y m:edocument
Address (Number and Street)
aMLPCode
THE SALES DISCLOSURE FORM MAY BE I TO APPLY FOR CERTAIN DEDUCTIONS FOR TmS PROPERTY. FDDMFY ALL OF THOSE THAT APPLY.
1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
e12 ent r FCF STREET
Add,M(Numbercad Sr 1
PRINCETON IN 47670 GIBSON
pry, smM HPCmk Count'
❑ ❑ 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 (Number and Sued)
County
R] ❑ 3. Homestead
Q 4. Solar Energy Heating /Cooling System
Q S. Wind Power Device
❑J 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Heating /Cooling Device
Q 8. Is this property a residential rental property?
(� Q 9. Would you like to receive tax statements for this
property via e- mail? (Provide contact information
below. Please see instructions for more information.
ott ovailablein 11 counties)
osCO� 5`= a6a.�aC -007
CYNTH JSTFPHENS NA
Under penalties of perjury, I hereby certify that 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 Deduction is
being filed.)
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Printed Legal Man of Buyer I SVm Date (MM/OD/Y"
Last5dtgi1sofBuyer1 Drtver's State Last 5 Digits ofSoatrl Security Number
Licmef[DfOther Number
si9mmure of auyerl /Spume
Printed Legal Nome of Buyer21S0ouse Sign Date(MM/DD/Y"
L,=5d(gRS ofBuyer2f5pouse Driver's Stine Last Digits of5ocial Smurity
Number Licensef(DfOther Number