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Homestead_Marion
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID?,P:REPARERL-a-7-, } • ' . ,-sj.+n:>• - .,. ..H _-7s-•..7C --'_-C-- . 7 .�_: Leon C. Stone President Preparer of the Soles Disclosure Form Tide 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton. IN 47670 (812)386-1687 bti(a)mw.twcbc.com City.State,and ZIP Code Telephone Number Email ET;:g ER(S)/GRAANTOiIST3-7'?`,. !x `s: *FT.&r1�;�7 T;rn , `e C. - ., en' r7iA, ‘ ,f.. ri Albert J Kinser Carolyn Sue Kinser Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 100S180E 100S180E Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (ap (f �� (n/2e-1c) ./jars. K 2 Signature of Seller UU �-S Signa ure of Seller - /� Albert J Kinser /t" Carolyn Sue Kinser Printed Name of Seller Sign Date(MM/DO/YYM Printed Name of Seiler Sian Date(MM/DD/YYY) (FLBILWERO /,GRANTEE(S] `AP,PWRIMION{E,ORIPROPERTtYuLTAX1DEDUCTION$'.1DENITIEe1vAB11111EMSiTHATslARPfli t"';' i Daniel Allen Marion �j,� Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance d u en ,..1 1106 West Third Street -+ Address(Number and Street) Address(Number and Street) 4i, Mt. Carmel, IL 62863 SCP (' THIS PROPERTY. IDENTIFY ALL OF THOSE THAT.AP V Y - YES NO CONDITION YES NO CONDITION r/1:jr.,_ 0 ❑ 1.Will this property be the buyer's primary � ❑ 3. Homestead UR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IDS.Wind Power Device 120 N Stout Street Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 2 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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) alp - \a .. I'1-a-oLk - oo , o-0A City,State ZIP Code County Primary,pronto,owner contact name E-mail