Homestead_Risley INDIANA SALES DISCLOS URE FORM S. DF ID:
Page 2
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CHRISTOPHER_E,CARL ATTORNEY AT LAW
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101 OPIAZA EAST BLVD..SURE 102 TRUE TITLE SERVICE LLC
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EVANSVILLE,INDIANA 47715 812-402-6555 dosUwsOtrueStlein.com
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PHILI IP L BURRFSS L FTTIF.1 RURRFSS
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R02 S Stormont R02 S Stormont
Mar=(Mmbc and Sweet) Addrw Manlier end Shed)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belle(is true,correct
and complete as required by law,and Is prepared in accordance with IC 6-1.1-55,`Real Property Sales Disclosure Act
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PHIL I IP I BURRESS 03/ /3 /7014 I ETTIF.1 BURRESS (W P? /7014
Prhaed Maras ofSder Sean Dab Patiab/r'm1, PrbeM Name Older Sir EabPOPDDTrn
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�HARY XAVIER RISLEY )
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802 S.Stormont
Address Prem&r and Street) Adana(Nmober and Street)
Princeton,Indiana 47670
Telephone Number Hinall
IRE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CORTARO DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OP THOSE THAT APPLY.
YES NO CONDITION Na„—AWl8FROIL
m ❑ 1.Will this property be the buyer's primary m I ❑ 3.Homestead
residence? Provide complete address of prima - .Solar Energy Heating/Cooling System
residence,including county:
❑ m S.Wind Power Device
R02 S StrwmonL Princeton
Admm(Neater cad Street) ❑ m 6.Hydroelectric Power Device
Princeton.Indiana 47670 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
aq,Stan 2lPCode count'
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 6.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ m 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact(aformation
including county; below.Please see Instructions for more information.
1111 E.Broadway Not available in all countieess) q I
AdNra(Number and saeet) a 6-/A-/p -a .0 o D. 42TI Ma8
Princeton,Indiana 47670 GIBSON ZACHARY XAVIER RISL.EY
-ay,Sant Mark Cam*
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