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HomeMy WebLinkAboutHomestead_Bockhold (2) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1791603 Page 2 D.PREPARER . Samantha Cutsinger Prepnrer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 Samantha.bti @mw.twcbc.com City,Suite,and ZIP(de Telephone Number E-mail E.SELLERS)/GRANTER(S) Patricia Vanoven Seller I-Name as appears on tanresva.e document Seller 2-Name as appears on conveyance document 400 Swallowfield Dr. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- 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 require by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /la%Alze U0- -' XSigna�of Seller Signature of Seller ad-red N-morr4Lr G fPmwN^•m✓Yr Prr•d H—"o afeea.,- Om nrr"r'am inn•wvr F.BUYER( ) VC: knttft-Street, k (2 b- la Di —)0i—CO 0 oil -028 City,State ZIP Code County Primary property owner contact name E-mail