Homestead_Kohler (2)INDIANA SALES DISCLOSUREFORM SDFID: _
D.PREPARER
Brvceann N. Cutsinoer
Neyarer o(the5ala Disclnsure Form
226 W.Broadwav
Addrm (Numberand Stree[)
Princeton IN 47670
Ciry, Sm[4 andTJPCOde
E.
Seller l� Name as appevrs w ronvryantt drcument
30521 w SR 165
Addras (Nvmber and Stree[J
Under penalties o(perjury, l hereby certify [hat this Sales Disclosure, to the best of my knowledge and I
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5 "Real Property Sales
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SignaNreo/Se! SignaNreoJSeffer �
r,.,..:,, � ��r�., n�S�i.S n��u� i r.,;rr�
on tonveyanceCxumen[
TAX DEDUCTI ONS- IDENTIFY
Bvyc I� Name as appears on ronvq�ana datumm!
5146 S 980 W
Addrecs (NUmber and Strrel) Address (Numbe� ond Sn
Owensville IN 47665
____
THE SALFS DISQOSURE FORM MAY BE USED TO APPLV FOR CERTAI.Y DEOURIOYS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
0 ❑ 1. �Nill this property be [he buyer's primary �
residence? Provide comple[e address of primary
residence, including county:
ao�n S ii25 W
Address(Numb and5vee[)
Owensville IN 47665
Ciry,SmuZ [ade Covnry
❑ 2. Does the buyer have a homestead in Indiana [o be
vaca[ed (or this residence? If yes, provide
complete address of residence being vaca[ed,
including county:
5146 S 980 W
Address [Number and Strre[J
Ciry, Smte LPCade
0 ❑ 3. Homestead
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5. Wind Power Device
6. Hydroelectric Power Device
7. Geo[hermal Energy Headng/�
8. Is this property a residentlal
9. Would you like [o re[eive [ae
property via e-mail? (Provide
otavaila6le in all coundes.J
,�,9_too-ooy
name
E-mail
true,corred
ire Act".
g Device
property?
ients for this
�t informaCion
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