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it INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Leon C. Stone President
Preparer of the Sales Disclosure Form Title
I. 226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (812)386-1687 btiemw.twcbc.com
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y City,State,and ZIP Code Telephone Number E-mail
k-. EMEHP,ER(s)'/eRANir,0R( 7.*-s. .. .,. ; ., 7-7, „7.-
Hillside United Methodist Church
-cpt Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
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r 828 West Arthur Road DEC 2 2
Address(Number and Street) Address(Number and Street) 201/
Princeton IN 47670
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;. Under penalties of perjury,thereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
• and complete as required b laW,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Si 1' of Signature of Seller
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Printed Name of Seller i Sian D e Oaf WITYY) Printed Name of Seller I Sian Date()04/Dh/YYYY)
. PF:biataSAGINIIIEE(s)WARPAGAgiioNIF,coveRER:ULTAXIKDLICITileNSIDENillIF2aMEMEMSil■HTAVAP,P,IiY4 t-I''P",'t:'C7':tf r:,.:
Brian S.Thomas Jennifer L. Thomas
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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608 S Seminary Street 608 S Seminary Street
• Address(Number and Street) Address(Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 7 N-
YES NO CONDITION YES NO CONDITION
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Z D 1.Will this property be the buyer's primary 7j 0 3. Homestead
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residence? Provide complete address of primary 0 2 4.Solar Energy Heating/Cooling System 1 4
residence,including county: frk
0 2 5.Wind Power Device
828 West Arthur Road
• Address(Number and Street) D IA 6.Hydroelectric Power Device
.
Princeton, IN 47670 Gibson 9 2 7.Geothermal Energy Heating/Cooling Device
Ci0i,State ZIP Code County
0 n 8.Is this property a residential rental property?
lA 9 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 9 (7) 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
608 S Seminary Street Not available in all counties.)
fi Address(Number and Street)
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Princeton. IN 47670 Gibson Q. (0 - (c0—OR - 01 q b -
City,State ZIP Code County
Primary property owner contact name
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