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�IND�ATJA SALES DISCLOSURE FORDt
D.PREPARER
Preparero(Ihe Sales Diulosure Form
I1122 E OHIO ST
Addrrs (Number and SveetJ
Title
tompany
PRINCETON IN 47670
E-mail
E.
dotvment
706 W WIL LIAMS ST
Addrett (Number and Svre[J
Ff BRANCH IN 4764A
Ciry.Sru[e. andZlPCOde
Seller 2- Name as appeors m ronveyance dxummt
Addrecs (Num6er and SvrecJ
Ciry, Smte, and2/P Code
Under penal[ies of perjury, 1 hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is tne, correc[
and c9tnple[ requir by law, and is prepared in accordance with IC 6Q.1-5.5, "Real Property Sales Disclosure Ac[".
Y e, a.i
Sign .0 oJ e(ler I Sqnvmreof5elfer
.Ciry, Smtt. andZlPCode
2- Name as appears on
Addr� (,YVmbe� and Street)
FT BRANCH IN 47648
Ciry, State, andZ/P Code
THATAPPLY
THE SALFS DISCLOSURE FORPI hfAV BE lISED TO APPL4' POR CERTAIN �EDIICfIONS FOR THIS PROPENTY. IDENTIFY ALL OF THOSE THAT APPLY.
1'ES RO CO\DRION SES NO LONDITION
J� � 1. 4Vi11 this property be the buyer's primary ❑✓ ❑ 3. Homes[ead
residence? Provide complete address of prim � 4. Solar Heabng/Cooling System
residence, induding county:
n n S. Wind Power Device
106 W WIL� IAMC ST
Address (Nvmber and Sveet)
FT BRANCH IN 47648 GIBSON
[iry. Smte ZtP [We [ounry
� � 2. Does the buyer have a homes[ead in Indiana to be
vacated for [his residence? Ifyes, provide
comple[e address of residence being vacated,
induding county:
Addrecs (Number and Sveel)
Ciry.SmteZlPCade lounry
❑ Q 6. Hydroelectric Power Device
❑ ❑✓ 7. Geothermal Energy HeaOng/Coolin; Device
� �✓ 8. Is this property a residential rental property?
� ❑✓ 9. Would you like [o receive tax statements for this
property via e-mail? (Provide contact informotion
below. Please see instructions for more informadon.
Not availabl in all rounties.)
01�-/�/3�� - 6�0. �j'aG-o��
Mmo.. �..��.rrv mm�e� mnmae name E�mail
Under penalties of perjury, 1 hereby certify [ha[ [his Sales Disclosure, to [he bes[ of my knowledge and belief, is true, correct