Homestead_Marshall1�'D4�\A S.\LES DISCI.OSItRE FORAI
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Bryceann Cutsinqer
Prepnrer a([he Sples D6Cloture Porm
226 W. Broadway
AJdw (A'umhrr nndSbertJ
Princeton, IN 47670.
Ciry, Smte, anAZIP Lode
E. SELLER(S)/GRANTOR(SJ
Vauqhn Held�
Srl1¢r 1- A'omr m oppeurs nm m�vewnre dnrnment
2169 E. 625 S.
Addrns �Number md Strree)
Washinaton. IN 47501-
SDFID
SDOID 1873230
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3roadway TiUe, Inc.
lompany
Seller 2� Nnme ns npprvrs nn cnnveyvn�e drKUm.ent
Addrcss (Numher nnd SVeet)
Ciry�. Smte, andZlPCade
Pa¢e ?
t.'-mai!
um6er E�nail � Te/ephaneNurn6er 1 E-mail
Under penal[ies o( perjury, I hereby certify Ihat this Sales Disclosure, to the bes[ of my knowledge and belief, �is true, correct
and complete as required by law, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signv( �a%Sel/e� � ( SignoNreo(Seller I
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Brandon S. Marshall
Ouyer 7- Nomr as appmrs on ronveyanre Aocument
7522 S. 300 E.
Addrexs (Rumbrr orrd StrcceJ
Fi. Branch, IN 47648-
Ciry. Smt<, nr.d ZIPCWr
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S- IDENTIFY ALL ITEh1S THAT APPLY
Cryslal L Marshall
Huyer 2� Nnme as nppearsan
7522 S. 300 E.
Addrus (.\'umber and S�ree[)
Ft. Branch,IN 47648-
City.Smre. and "LIPCWe
THE SdLES 06ttO5URE FORDt MA}' BE USED TO dPPLI' FOR CERTAIN DEDURIO\S FOR THIS PROPERTY. IUEKTIFI'
Q � 1. Will this property be the buyer's primary
residence? Provide complece address of primary
residence, including counry:
7522 S. 300 E.
Address (4'umber nnd S�ree�J
Ft. Branch, IN 47648 GIBSON
Ci%StareZfPlode Covnry
�� 2. Does the buyer have a homestead in Indiana to be
vacated forthis residence? IFyes,provide
complete address of residence being vacated,
induding county:
Addrcss /AtmAer and SueeQ
Ciry. 5mte7lYCafe
Covnry
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3. Homestead "N
4. Solar F.nergy Heatin
5. bVind Power Device
6. Hydroelectric Power Device
7. Geo[hermal Energy Hea[ing/Co�
B. Is this property a residential rer
9. Would you like to receive [ax s[�
property via e-mail? (Provide co�
below. Please see instructrons for
No! availnble in all counties.)
2l�- � 9- 22 a ao 000
conmctnvme
em ��Q
��
ng Device
I property?
•men[s for this
st in%rmation
ore in%rma[ion.
o a,
E-mail
Under penalties of perjury, 1 hereby cer[i(y tha[ this Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, wrrect
and complete as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Ueduc[ion is
License/ID/O(her Number
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Number Lirrnse/IU/OtherNumber �