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INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 18 - 1115053 Pa•e 2
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Tyler S.Pequignot Escrow Closer
Prepares of the Sales Disclosure Form Tide
375 N.Lincoln Park Title Center of Indiana LLC
Address(Number and Street) Company
Warsaw,IN 46582 • 574-268-0832 tyler.pequignot @tidecenterofindiana.com
City,State.and ZIP Code Telephone Number E-mail
1 a -
Kerry Dale Braun Gregory A.Braun
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
309 S. Mill St. 18900 Downen
Address(Number and Street) Address(Number and Street)
Hazleton,IN 47640 Ridgway, IL 62979
I Under penalties of perjury.I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
i Signature of5ell
Signature ofSellr
Kerry Dale Braun 03/28/2018 Gregory A.Braun 03/28/2018
Printed Nameo Seller S.n Date MN .o.ggg. Printed h'ameo Seller Si.n Data AM •D
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Nathan L.Stewart -
i Bvyrl-!lame as appears on conveyance document Beyer 1-Name as appears on conveyance document
520 SE 2nd Street,Apt. 603-
_--Address(Number and Street) _ Address(Number and Street)
Washington,IN 47501
'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
® ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead $ggg
residence? Provide complete address of primary ❑ ® 4.Solar Energy Hearin o niJSyst TI T
•• residence,including county: 3 �L eL®
•
1001 S.Hall St. ❑ ® 5.Wind Power Device
Address(Number and Street) - ❑ m 6.Hydroelectric Power De
Princeton, IN 47670 26 qqvvlI���� gg 99
❑ ® 7.Geothermal Energy Heatib AdBr avice
City,State III'Code County
❑ ® 2.Does the buyer have a homestead in Indiana to be ❑ ® B.Is this property a resider.dal rental property?
vacated for this residence? If yes,provide ❑ ® 9.Would you like to recd[/: _:',,`.ry l or this
complete address of residence being vacated, property via eciliiiIiiRt.''. . .f • ■ . ormation
including county: below.Please see instructions for more 2'. •&tlon.
Not available in all counties.)
- Address(Number and Street)
Nathan L.Stewart a - I ah r� ��y� _
-I c-Ibi- , a3i'r s
City,State VP Code County
Primary property owner contact name E-mail