Homestead_Lindauer (6)f,\DI.INASALHSDISCLOSUREFORM SDFID SDOID 720304 Page2
b.PREPARER
�C Bartett
ReyareroJtheSclo DudosureFarm Title
226 W Bmadway Brgqhvay Title. Inc.
AdJras(NvmGeramlSVerIJ Compvny
Princeton, IN 47670.
E. SELLER S GRANTOR S
Susan A (Lindauer) Jenkins
Srller ]- Nome v� appreon on �mrvryun�r Ja'ummt Srller Z- Nume as uVf+ro� un ameyunae daumenr
404 E Strain St
Address (Number md Stntr] dCdnss (NUmber ond 5✓ett�
Fort Branch, IN 4764&
Tde huneNum6er £�mail
Under penalties of perjury, I hereby certi(y that this Sales Disclosure, to the best o(my knowledge and belief, is true, correct
a d complete as requir d by law, and is pre ared in accordance with IC 6-1.1-5.5, "Real Property Saies Disclosure Act".
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Ggnamre of5ziler Signamre oJ Selier
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ERS GRANTEES - LICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Dennis L. Lintlauer
Bu��erl�Namenseppearson .�mreJ�n.�men: 6uycr2�Nameasappmnomm�vevnnreda[ument
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ACUre.o�i . � . Addr¢s(,YumberonCStrerQ
Fort Branch, IN 4764&
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THE $ALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTdIN DEDURIOYS FON TNIS PROPERTV. IDENTIFI' ALL OF THOSE TMAT APPLI'.
iF5 90 COYDITION Y" O COSDITION
x� � ]. Will chis property be the buyer's primary Q ❑ 3. Homestead
residence? Provide mmplete address of primary . ar •nergy Heating/Cooling System
residence, including counry: ❑ �
404 E STR41N ST 5. �Vind PoWe� DeViCe
AAdress(NUmberandS[rerc) ❑ Q 6. Hydroelecvic Power Device
Fotl BranU, IN 476ae GIBSON � � 7, Geothermal Energy Heating/Cooling Device
Ciry, Sm:eZIPCOde Counry
�� 2. Does the buyer have a homestead in Indiana m be ❑ � 8� I5 this property a residential rental property?
vacared for chis residence? If yes, provide ❑ Q 9. �VOUId you like to receive tax scatemen[s for this
comple[e address of residence being vacated, properry via e-mail? (Provide contnct information
including rounty: below. Pleasesee instruttions for more in%rmation.
hbtavaila6le in all counties.)
Address (Number andSVmt)
o?l0-/9-� -a3o3-a�.109�- �T6
Ciry. Smtr ZIP Cmfe Caunry
f4imarv pmVriq� o�mer mrtmct name 6�-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclowre, to the best o(my knowledge and belieG is [rue, correct
and wmplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are no[ necessary if no Homestead Deducrion is
bejng filed.) ��� � n
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LasliDigitsof5otia/5ecunryNum6er LastSdigiCSO(Buyer?/SpauseDnver's Smce Last50igicso(Saa'elSecudry
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