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'ONDIA \'.A SALES DISCLOSURE FORNI SDF ID 26- 2009 - 1000489
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SAMANTHA CUTSINGER BROADWAY TITLE, INC.
Prq.orr oRhe Salo Darlosure Form
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226 W. BROADWAY
BROADWAY TITLE, INC.
Addres (Number andswet)
C.-Pone
PRINCETON, IN 47670
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Telephone Number E -maul
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AARON J. KISSEL
CARRIE L KISSEL
Sr!!rr - A'ame as appenus an convcmnnce durvnren,
Seller - Nome as appears on ronvrv.mce dumomen,
7284 S 450 W
7284 S 450 W
Addireo (Number ad Area)
Andres (Number and Sirrea
OWENSVILLE, IN 47665
OWENSVILLE, IN 47665
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Cue.. S,c:e. and LIP Care
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Under penalties of perjury, I hereby certify that this Sales Disclosure,
to the best of my knowledge and belief, is true. correct and
omplete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Qct ".
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1T[O'OFOR DEDUCTIONS AI D;CREDITS [DE \TIF1, ILL ITEMS TH aT APPLl t
CLINTON J CAMPBELL
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AAtress (Aumber ad ArrW
Adores. number, and 5dreea
OWENSVILLE, IN 47670
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Can, Acre, and ZIP Cale
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Telephone Number E -mail
IIE SA LES DISCLOS U R E FORdI NIAV 8E USE D TO APPLY FOR CE RI' DED UCFIONS FOR T I I I S P RO_PtRjTV. I DF.XTI FY A LL OF T[I OSUri IAf
r 1. Will this property be the buyers primary residence? Provide c lete
rl 3. Homestead
address of primary residence, including county:
r; 4. Solar Energy Heating/ mg System
7284 S 450 4V
r• 5. Wind Power Device
Admen (Number and S,ree.i
OWENSVILLE, IN 47665 Gibson
r 6. Hydroelectric Power Device
arv, sm:e mrdnp code Camty
r 7. Geothermal Enery Heating /Cooling Device
r 2. Does the buyer have a homestead to be vacated for this residence? If
r S. Is this property a residential rental property?
yes, provide complete address of residence vacating, including county:
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r 9. Would you like to recicve tax statements for this property via
e -mail? (Provide contact a, rotation blow. Please seethe
instructions for more informanDn -Vot nvudeble in ull counties.)
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Under penalties of perjury. 1 hereby certi y 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.1 -5.5. "Real Property
Sales Disclosure Act ". (Note: Spouse Information, Social Securitv
and. i3ri er' Licen; them umbers are not necessary if no Homestead Deduction is being filed.)
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