HomeMy WebLinkAboutHomestead_Dilbeck^j�,,\DU\'A SA1.ES DISCI.OSURE FORD1 SDF ID 28-2009-7000780 'M �" Page 2
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L KOHLER _
�80 E. MAIN ST., STE. 102 � '"
Address (Vumber and Snee!)
PLAINFIELD,IN 46768
SECRETARY OF HUD SECRETARY
Se(ler -,\'ame as appears on ronvn•ance document
40 MARIETTA ST.
Tide
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Telephone Number 6-moi(
- Name as appean an conveyance
Address (Number and So-eeQ Addrus (Number and Snee!)
ATLANTA, GA 30303
Cim, Smte, and Z!P Cade Cint Smte, and Z/P Code
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Tefephone,Vumber E-mai( . TelephoneNumbe� E-moi(
inder penalties of perjun', I herebvi certifp that this Sales Disclosure, [o the bes[ of my knoe�ledge and belief, is true, correct and
�lete as required b�� IaN•, and is repared in accordance with IC 6-1.1-5.5, "Real Propert}� Sales Disclosure Ac[".
/ !� _�I�n/` �, . _ // � 1 n.,_ J / _�
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DAVID DILBECK
r- Nome as appears on com'evance document
MEADOW W.
SignalweofSeller - "" "'— -
Printed h'ame of Se!(er Sign �ate (.4L4LDOQ7YYJ
Bucer - Name as appears an convn�ance documen!
Address (i\'umber and SveelJ Address (h'um6er and So-eet)
OWENSVILLE, IN 47665 � �
Cim. Smte, and Z!P Code Citr. Smte, artd Z/P Code .
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\'um6e� - E-mail Te(ephoneNumber E-mail
FOfL�t JIAI' BE USED TO
r. 1. \Vill this property be the buyer's primary residence? Provide
complete address of primary residence, including county:
8902 S. MEADOW LN.
Address (,\'umber and Snee!)
OWENSVILLE, IN 47665 Gibson
City, Slate. and ZIP Code Caunry�
r, 2. Does the buyer have a homestead to be vacated for this
residence? If yes, provide complete address of residence vacatin�,
includine countv:
501 W. WARRICK ST., UNIT 26
Addrut (�7imber and StreetJ
OWENSVILLE, IN 47665 Gibson
Ciq�, Smte. and LP Code Caunry
ALL OF THOSE THAT
r 3. Homestead
r 4. Solar Energy Heatine/Cooling System
r 5. W ind Power Device
r, 6. Hydroelectric Power Device '
r 7. Geothe�nal Energy Heatine/Cooling Device
r 8. Is this property a resideniial rental property?
� i�- a9.�� -6���� �-o�zr
as required by law�, and is prepared in accordance �cith IC 6-1.1-5.5,
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es[ o� my �:noH'�eage ana oeuey u irue,
"Real Property Sales Disclosure Act".