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Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St, Princeton, IN, USA,47670
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Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveya document
Rolland Hallbeck
Address(number and street) Address(number and street)
311 Maple
14
City,state,and ZIP Code City,state,and ZIP Code
Lawrenceville, IL 62439 44p.2 41.1?
Country Country
242.,
USA .
Q4s, _ ri
E-mail address
Under penalties of perjury,I tjOretik-co**41e'Si'O*10440,to#iS-10*0:*i*it400::*00*!tof,:W044 i13.%anCi: 9itip)Ote as
re4iiieeol4t*;.•000.io,itio0.00•16*00.0:104:-#461q.0444§.4-Aii,eraPn)01Otici*iitV:atiOti:600000i0r4 • ii'400070it'Orre•Fi:
real iirOtiertii;;Or:OrriliS'OrfafilfiSS'irik frifOlifiStfOri*tiiike0 tO'fie4r0.100d; OriiiiiItS..04.0./SISIfOarly.:r'.!'-.:..1:•..,,'';,,',
Signature of Seller
(7/7_
Printed Name of eller DatOgned(mtn/ddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Rolland Hallbeck Y-ig '022
4,.POYtii(p)IP00.1.* .(.0 :AppAPATiON:020:POPO-401*;TMP4004.**0:... .i.0007tiFy:44,4.14A.T.0P4Y.:..:
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Jason L. Garrison
Address(number and street) Address(number and street) ' •
9600 W State Road 165 •
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665
Country Country
USA
E-mail address
ap.plyfor Certain dedUatiOnS;.IdentifYill:of tlibie:thatiPPly: '- '•'•.- %.'
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary Cl 0 3. Homestead
Cl 0 residence? 0 2 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 2 5.Wind Power Device
0 0 for this residence? If yes,provide address: 0 •CD 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
. . i
City,state,ZIP code,and county
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Under penalties j:1107e4y.00tifti'th*.this:§ateSPISCIpsbee;:ti;i;the:bpStOeokowliogeandbeiief,',11s#0,,OOrreCt'and complete
as frou!!*-0,.4}i:f0ii,0110:1S..preO0re0:Iof 400.04.0.80tki0,:044 $;5-'. :ii:ii* c4I-i N.Aibp.,400y,46Af*kointentiereity falSifieShe value of
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