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Homestead_Schaffer , ' t ,INDIANA SALES DISCLOSURE FORM SDF ID: •• - . , gliiiRREPARERI:C.SCz1-?-7'477::::-L1--Yr t14:2f-';..',W.:74.,777-1 r1:,:-.7771--:.<:;.---1:41'---'.;,itt-.1c4c,*.f:;FT.,'i i;v5`,'... -.2:•••:€42t•-:-V7*-1'.-:.C.•::-.rkf; MI (-'James M. Ndaf .:•.....•,t.te. '; : Attorney at Law - ' . • •-'-'" : -"•". '4- '—PreParer of the Sales Disclosure Form 731,1 th•StreettP7'0.,BOX 446,--,ra-i--;-- ---- - .: - .-• -- --..--.T.'• .-- . ..--:: -ct:-.•-•:.'•:-.•,'•.:,-;,/, .7 :: ..,•:-t44-1: --.;_;:;:;;:-.'itt.-:!----i- -:471,;—:,..4--- .. ..--,Address(Number and Street) r ••-• - _c. ' -' ;..-- - '''' ' '- - ' ..m Colrain);;I:.-i-TCry ' 3 :• -•• '- -••.: ,I,--$ rat,nr...7...:I i i'.-sr z Ia..). •Ii.tc.-..?_....:LESE:T.!:n•i:11: )),CC•'-_ •.-;VT:3:n-f.:-.:7.T.7 2 1 T.:7:tr.:f(2.:).':7:l).,-‘,:P.t.: "...-.•11-7;D:1;••rr;•-z-741--1# :IL'r'.'-''--ti 'Tfr`'"'IT'D ict'i--c:Yltar.-FiI---TrApitas•••• a_ ;taLawr'enciv1116,1L.62439; 1-t. - ;---... • --; ----.-:•1 ---- i.---- ' 618-943-3900- ets•Lt- ' - --: -1 .• ,;:. ---.4'•imhlaVkafrOn1le-Codiiint; '44CiiyiStatZdnd ZIP Code::;:i■C.';.It"..a7 7.!--..taT.:T. : T: ' - ...1. . 0...41-- --- ' Tele•phon'e Nuniber-1,' •'' -y_--t.*-' ' ' . CC-Ittrt'v eft:VI:A.m..; • .........J -:-- --t . . .• ERSELillER(StGliANillOR(S -Is.'"0-=`.!1--1-n--7 . 124-77..T.`77, 7671-rr .-1-7-71747a);;Crecii,,Y.4-1 : Charles R Bell Charles F Perkins • Seller I.Name as appaarion conveyance docittnenC• . - Seller 2'.Na-iiie;s a fibiciri on coddi;ince document 544W Olive Street 2010 refferson Street ' Address(Number and Street) Address(Number and Street) . ' . . , -. ......,...... — . - , . . .. . . Bridgeport IL . Under penalties of penury,,I hereby certify that this Sales Disclosure,to the best ofinytknowledge and belief,,istrue;worrectt:t -d corn•.,41 - as required by law and is prepared in accordance With'IC 6-1 1-5'5 t"Re 'Propetty Sales D I -A t"-. '15•!!' - :i2.!!:....-:!:Iejl' --,vtit'"?!..-1:4'':-.W:4: •••-. 1:::,;'''- (AO --,- v•.!'",•:.,-;,• _. -. Clyka„j'• - : _";..eq''.- -."-:. •;-.4,"41:2:!:_ilo-4.7&;-.2tifrii.,11;44 2-siiriatkset..Jts2SZ:-:.-..!-• •-•-z.,. ...4`,.C.:_.-- - :- -Lt- : - • c-.'" ..,SignatureWSalle):)t ' '---;") 't........::.... i. 1.S...c.21g, .--Xi:. :a....c.T2-nl#,)i Charles R Reit :3 1 a Y. . t . v- s s . .ai/2212o/ kk • .. Charles F>141i-kirfs Prinied blifrite o f Selle), . . . . Siqn Date(MWDO/YYM Printed Name o f Seller Si-Cri;ilire;(temilivircrr)--vi. EWJATI.Tgliirdr3:4•111iEE(SSFIRLIcerfilOTVIEORPLTORER■ViThXibEDU01110N$KilDENffilFeYffill91WEillHATATITIWal.1-:& b&-Vei-WlYlie;Sollairefr4:1-1 •17'.114-t , !,- :-.tan."'' •' : -tcl •: . ; Bayer)t Noilie as appimi'DP'conyance'docunfeht !:?; •"•;;:. :tr., , ..... ' Buyer 2-Name as appears on conveyance document'r '• ".4.;-).)-1.. .'':(1.' .1,tj, •6273 South US'Ilit-ara-V41;442-e'1.4?-i.l.Y.;;;!..:?f1;k1,4e.r&l.ACciiii„.t=hir r/`4,2‘a t„....,:„-- ..::,.._,.. , ...,.;,,_4..1“,..,,,,...,, , , ,,;,;ta;.;•=4) .....--Address(Number and Street)cttf,..cpw.-Nerirft.,,-..gt.4-,roi..,,,p,y,,,.--,,,,.,,t,--e., . ,Address(Number anc/Street).. tis!.`.1.)(.-- •■• • I --1.-^ ,--, , •..-f ,. fic•• (-1: Fort Branch. IN 47548 ''' •- -- City State and ZIP Code — - . City Stpte,.a and IIPLade'•_l, :..." ' ''''-'::''''''" ' '''"• ■ ' 1 . , . ( ,- TelephoneNinither " . - E-ma . Telephon)Klaiber/.....;"..-. E-mail : Tiff iALEID IialistiO FORM MAY DE USED fo APPLY FOI-C-EDTAIN-DEDUCTIONS FOR THIS PROPERTY-IDENTIFY ALL OF THOSE THAT APPLY. • • • YES -- NO CONDITION • • • . . . . _ El Igi 1.Will this property be the buyer's primary 0 n 3. Homestead , i-f: ' Ti residence?.Provide complete address of primary 0 . gi 4.Solar.Energy•Heating/Coolitig System :•-r - ' • - residence;including cOunty:' . - _ ._ . . . -'' ...--..: ;, 0 - n . -5-.;Wind.Power DeVice t----1';';''' :-.. '" : *.x.1 . * -.6273 Setith US'HiljfiviTay-41— ---•---- -- — • - -- Address(Ntimber.and Street)f:•! : ,t,1, - : ,:. ..•,j. „ .,. ; ., i 0 . ei 6. Hydroelectric Power Device.. _ ..• h.; yr T..-1 tz : :,..,..„.„-j-v:.;i• 'S!i tit) ..<,',/triii 9..-,* L., , 1 Fort Branch: IN 47648 :._::. ..- ,.., -. Gibson 0 la 7,.Geothermal Energy.Fleating/Cooling Device - • 1 a yes 111 , 151::,-8.1s.this,property idential,rental propertyy- (c 0 TA 2.Odes theThuyer haVe a hdibb'stead in Indiana to be ,. ...... . vacated for this residence? If yes,provide 0 151 9.Would you like to receive tax statements for this ; . complete address of resideribe being Vaeated, ' property via e-mail?(Provide contact information - - including county: below. Please see instructions for more itiformation. _ - - -----• - _. .. . . . . . - — 'Not available in all counties.), '—' ".. 'Address(Number and Street) . . '-: ' - . „ . . ' - , \ ' • -1''' ' " 2-140.--. Le i-0...77 -5 o 0 coo 4 75-1a, ' City,State ZIP Code - ,,, . County, - . -.. - -.' Primary praPeriji own&Sohtria;Mine •i 't:-' •I If:--.:.!cr:J.:--A.2*f- --\E-Mail.,( :Under penalties of License/ID/Other Number Number License/ID/Other Number