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Preparer of the Sales Disclosure Form Title 1
Tyler S. Pequignot Escrow Closer
Company
Address(number and street,city,state,country,and ZIP Code) •
375 N. Lincoln Park,Warsaw, IN 46582
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Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on con ocument
Calvary Apostolic Church
Address(number and street) Address(number and street)
412 N. Prince St. '4,4 1
City,State,and ZIP Code City.State,and ZIP Code 406.
. --. .
Princeton, IN 47670 /
Country
Z- Country
Email Address
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lind '';.'":rtiiitie0.0i;V'JUryitifefittcertiffi is Si DISCiteure;* ciei-4 best of my knowledge arttlbelitaAttt;4C!;:.i t an'ggiom Wet?
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req ,' . ..1pkig::• yA4pret*.:01, • Cbieciance%kith IC 111:1. :. .;.Akaerson whoIcgoxmgWgd.intelply:fal'y...:.: :.::'j'e VapetVf transferred
or !SIOS'any information reqUiretft04: Wiritdeiii-COMA .f00-14W;‘ ;:'-k,,,,,i.t.!.:.!-i
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ture of ter
------- Signature of Seller
PI Na o Seller Date Signed(mmfddlyyyy) I Printed Name of Seller Date Signed(mmicici/yyyy)
John Stone,Pastor 08/16/2023
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Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Thomas R.Ibis
Address(number and street) Address(number and street)
18812 Imperial Eagle Lane
City,State,and ZIP Code City,State,and ZIP Code
Elgin,TX 48621
'
Country
/ Country
Email Address
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NOP:1045101.. Me-.Salwpq:C.losuT.4uorrit May be useditOTapPly for certain deductions Identify all of those that apply! .,•:1, i'i:
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YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary Z E 3. Homestead
'—' residence? D I2] 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 0 6.Wind Power Device
E] 0 for this residence?If yes,provide address: E] El 6. Hydroelectric Power Device
I Address(number and street) • El 0 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
a -vi._ -01-2-0a - 002 Ft2 t
rileiligpiltS o-r1r.ri.,1 heielisraififyyttiiiiMlales DiSCIOSiiii,.tiOthi best of my knowledge and belief,4-trtre;;.corrsidiiiild OkikipleteY.!ii
Mr6coirtgo:.,kravir;A:k jiiSilirejiatLgalt accordance with IC 64.145;:kperson who knowingly and intentionally falsifies the value of.: ::
COPY