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I\DIANA SALES DISCI.OSURE FOR,\I SDF ID SDO IU 718260 Page 2-
D.P�EPARER
� C Barrett
�fl'e}arer o([he Sc/es Oudwure Fortn Title
226 Wesl Broadway Broadway Title Company, Inc.
Addrm /A'umbv md Sbrn) Comyony
Princeton, IN 47670-
E. SELLER S GRANTOR S
Tonya L Bugher
Srller 1� Name vs np�reors on �om�e�vrtie JMUmm� Srller 2� Nume m uppeon on aon.eyvnae da� vment
10546 W 550 5
AOdress (NUmuer ond SveeQ ACdrecs (A'umber onCS:rer[)
Ovrensville, IN 47665
Email Teie onrHUmber E�mail
Under penalties o(perjury, I hereby certify that this Sales Disclosure, to the best o( my knowledge and belie(, is true, correct
and cqmplete a.r/�la}s; and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
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y4'gna[ure Szler' .SigncmrroJSeller
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F. BUYER S.GRANTEE S APPLICATION FOR PROPERTYT CTIONS- IDENTI TEMS THATAPPLY
HaAey J Ripke Mary L Ripke
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Wisconsin Rapids. WI 54494- Wisconsin Rapids, WI 54494-
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THE SdLES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTdiN DEDURIONS FOR THIS PROPERTV. IUENTIR' dLL OF THOSE THAT APPLY.
1'ES YO COVDITION NO CONDITION
�x � 1. Wil1 this property be the buyer's primary Q ❑ 3. Homeste
residence? Provide complere address of prima , o ar Ene eating/Cooling System
residence, induding munty:
10546 W 550 S 5. 6Vind Power Device
Mdres(h'um3e�anOShe¢) ❑ Q 6. Hydroelecvic Po�ver Device
Uvensville, IN 47665 GIBSON
Ciry.5mie21PCoCe co�nry � Q 7. Geothermal F.nergy Heating/Cooling Device
�� 2. Does [he buyer have a homestead in Indiana m be ❑ � 8. Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ � 9. 4VOUld you like co receive tax statements for this
compleie address of residence being vaca[ed, properry via e-mail? (Provide contnct informotion
induding county: be(ow. Plense see instructions for more in%rmation.
Notavnilable � all tounties.)
ddAress (Nmn6zr md Srreer)
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Under penalties of perjury, I hereby certify [ha[ [his Sales Disclosure, to the best of my knowledge and belief, is Crue, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduciion is
being filedJ
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