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Homestead_Kruse (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 .b..PREPA'RERs 7 77*_ n . :.<< F a 'a_i. - .� i / -lirc -. .. — L — Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company I Princeton, IN 47670 ( E-mail I E iSELLER(S)/GRANTOR(S).r :� 7:r_ i45^.„ .s,„1 T -• '.o.a -s-=.t h -:r Fi errs z -., lifet—irt. . .--Tel —i'-" O✓.� -ati_4 _ vfS.Y.l_."-t__. 1s a.,. _t y_ '.: Patrick Lythgoe Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ' 7109 W Perinra School Road Address(Number and Street) Address(Number and Street) i Eckert!, IN 47116 City,State, Telephone Number -� E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of mi�,UgM,^�'i' I g b ,is true,correct and - mplete as req ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Red(Prrpe Sales Disclosure Act". Oz " i" ,ICY 15 2m9 Signature of Seller ,/ Signature of Seller Patrick Lythgoe u-7 -1'1 Printed Name of Seller Sian Date(MM/DD/FM) Printed Name of Seiler I • Sian Date(HM/DOMTI1 '.117 • J,7-" •NTEE(StAPPLIGATIOMEORPROP:ERT,YTAX<,I)EDUGTIONS=IDENTIFY_KLL II ViITOR __'_____ uroa Alex YKruse Tyler�Kruse -..,, -. on conveyance document Buyer 2-Name as appears an conveyance document 404 N. Hull Street 404 N. Hull Street Address(Number and Street) Address(Number and Street) Fort Branch. IN 47648 Fort Branch, IN 47648 YES NO CONDITION YES NO CONDI N 0 ❑ 1.Will this property be the buyer's primary IZI ❑ 3.Hom Lead residence? Provide complete address of primary a• © ar-Energy Heating/Cooling System residence,including county: 404 N Hull Street ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ 17 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 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: ,- •n. ' ease see instru • more information. Not available in all counties.) Address(Number and Street) I City.State ZIP Code County ' . ^ L• 12 -3°Z"°0 0 - U 6 Y -• :. , -.. .... E-m.