Homestead_Smith (2)
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INDIANA SALES DISCLOSURE FORM. SDF ID: xy' Page 2
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Jason M. Spindler _____ _ .Attorney
Prvparrrof the Sales Disdostire Farm Title
112 N. Main Street Spindler I aw
Address(Number.and Street) Company
Princeton. IN 47670 ___
City,State,and ZIP Code TelephoneNumber F,•molf
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Paul Edwards _'candle Edwards
.Seller I•Name as appears on conveyance document Seller•/tone OS appears on conveyance decuatent
5611 N 550 F _ _5_633 N.550 E.
Address(Number and Street) Adth esx(Number and Street)
Patoka, IN 47666 Patoka. IN 47666
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-i..1-5.5,"Real Property Sales Disclosure Act".
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51gnatttrc of Seller Signature of Seiler
_ .Edwards May 07 0010 JPanelle. Rdwards May 07 2020
Prat ted c.o Sign Date it Iip ' l r
_�IIai /-Sel1�L t7 t (+t / IYYs'Pl Printed Name nfScl Seller Sett Date( f�!/AL'/Yt t'I
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__Ei hard Smith Tillie Stier,
a) dilrern ice dacemcnt Bayer 2•Name us appears on conveyance document
20 S. (Zhie Street 201 S. Ohio Street
Address(Number and S&eet) A Jdte`-ee(Nana.er and,Street)
Hazleton, IN 47640 _ Hazleton,IN 4764(1 FILED
—
Ciiy.State,and ZIP Cride City.Stare.and?IP Cade
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IHESALES DISCLOSURE FORM MAY BE USED TO APPLY .1 C "Al` El} .1•IONS FOR'I'IUs PROPERTY D4N'rt: 1.1.OFTHOSETHATAPPLY.
YES NO CONDITION \ ,S NO (CONDITION GIBBON COUNTY AUDITOR C
Ilitll,tt. er. primary
3. Homestead
•
❑ 1.Will this prope b 1 Y 2 ❑
residence?.Pr i e s-te address of primary ergy Heating/Cooling System
residence,inci 'n ounty: ❑ 5.Wind Power Device
201 S. Ohio Street
Address plumber anti Street) — Li 2 6.Hydroelectric Power Device
Hazleton. IN 47640 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
city,State ZIP Code County
[/ 0 L.Does the buyer have a homestead in Indiana to be ❑ 2 8,is this property a.residential rental property?
vacated for this residence? lf yes,provide ❑ 2 9, L ax statements for this
complete address of residence being vacated, property via e-mail? (Provide con kigformatinn
including county: below.Please see instructions for more In motion.
229 S Ohio Street 26-02 fgrgaiiiigle 650 c'tiltib 19
Address(Number and Street.)
Hazleton,IN 47640 Gihhon____,
Ciw State ZIP Code Count} — —