Homestead_Guittard •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Leon C. Stone President
Preppie.of the Sales Disclosure Form Tide •
226 West Broadway Street Broadway Title. Inc.
Auldiely(Number and Street) Company
Pririceton,IN 47670 _ (812)386-1687 btiernw.twcbc.com
CitY.State,and ZIP Code Telephone Number E-mail
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Cynthia Hale Chris Weist
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Seller 1-Name as appears on conveyance document Seller 2-Najarruvonveyance document
6024 Dunnlevy Drive hOn Want Street TRI I31
Address(Number and Street) Address(Number and Street)
FortWorth TX 76179 Princeton IN 47670 -
• Under:penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and Complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
• crath. a. y-ket_ c-pr,,s,
Signature of Seller Signature of Seller .
a.in-1-111.0., ann Mrt)-e
, 05//540/6 c\-\sus
Printed Name of Seller Sian Date(mm/DD/ITYY) Printed Name of Seller_ .• _ . . Sian Date(MM/DO/WY?) - .
W;B_UMER(S)WIMIDEEMLS'ARIMIGATION-25.1e0RERWilierAMOERUKIONS2IDEKREWAIMAIWI-11
Gregory J. Guittard
Buyei I-Name as appears on conveyance document
Tin • •-•igt7
,_conveyance document dEoFtEmDenFOR TAXATION
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• 329 S.5th Avenue-Apartment 13 4 ' -
AddiesSiNumber and Street) Ad —•''''.--•t "Et to final acceptance for transfer
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS):/Tr OWLITIFALL OF TH• E THAT APPLY.
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. YES •NO CONDITION GIBSQN coarrythiffatoabfq
• El -:, D 1.Will this property be the buyer's primary Ej 0 3.Homestead
. residence? Provide complete address of primary 0 jjj 4.Solar Energy Heating/Cooling System
residence,including county:
... 0 171 S.Wind Power Device
329-S Seminary Street
. Address(Number and Street) 0 0 6.Hydroelectric Power Device
Prirideton, IN 47670 Gibson 0 Ej 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 z 8.Is this property a residential rental property?
D .. El 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 [71 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.
Not available in all counties)
Address(Number and Street)
(9(0 / 2-0q- Ifni-ct3. i Pg.-WA>
City,'State ZIP Code County
Prima*,property owner contact name . _ _ E-mail
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