Homestead_Krutz; �.
; �.
INDIANASALFSDISCLOSUREFORPf SDFID SDOID 759036
Pvge 2
D: PREPARER' J .. -
Samantha Culsinper
Prtpare�oJNe Safe Oiuhwrt Po�m Ptlr
226 W. Broadvray Broadway Title, Inc.
I Addrea(Num6e.and5trtet) �po��
Princeton,IN47670-
E.
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Michael H Sibbitt
Seflrr 1� Nume or eppeurs m mnvryvnce Jorummt $¢fle� Z- Name os uppevrs m mnveyon�e docvmmc
6849 S 500 E
Addrat (NnmberorW Suee[) Addres (Num6erandStrer[)
FL Branrh, IN 4764& �
Ory.Smrq and LPCade / -} Ciry, Smt4 and LP fnde
Tele honeNUmber E-mc/i
Under penaldes of perjury, l hereby cer[ify that [his Sales Distlosure, [o [he best of my knowledge and belief, is true, correc[
an��9mple�e a�reqNired �y�aw, at��l Is prepared In accordance with IC 64.1-5.5, "Real Property Sales Disclosure Act".
Brian K
Addrea (Numbrr and 5frertJ
Ft. Brench, IN 4764&
TNESALFS
Signatur<o(Seller
Rarhel E Krvtz
tllrye�[�N atanS[arson[onveyvnttJO[ument
500 S. Center St.
Addrev(HUmberand5[neQ
Ft. Brandi, IN a7648-
9E USED TO APPLY FOR CERTAIN OEUUCTIONS FOfl THIS PROPERiV. IDENTIFY ALL OF THOSE TNAT APPLY.
x0 ❑ 1. Will this property be [he buyer's primary `/,
residence? Provide complete address of primar}'�
residence, including county:
6849 S 500 E
Bddreu (KUm6er eud Strnt)
Ft. Branch, IN 47648 NOT APPLICABLE
Clry, Smm ZIFCOdt Caunry
QX ❑ 2. Does the buyer have a homes[ead in Indiana to bc
vaca[ed for this residence? !f yes, provide
[omplete address of residence heing vata[ed,
intluding county:
500 S. CENTER ST. �
Addreu (Numbe� aM So-eeQ
Ft. Branrh, IN a7648 GIBSON
[iry, 5mte 11PCade Covnry
3.
Heating/Cooling System
� Q 5. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Hearing/Cooling Device
❑ Q 8. Is [his proper[y a residential rental property?
❑ Q 9. Would you like [o receive tax statements for this
property via e-mail? (Provide contact informotion
below. Please see instruc[ions for more information.
Not available in all counties.)
dG /9-/3 -/ao - �oi o3G - oa.S _
RimaryproO�l'mvnmm�mctname &mafl
Onder penalUes of perjury, I hereby cer[ify [hat this Sales Disclosure, to [he best of my knowledge and belief, is true, rorrect
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informadon, Soclal Security and Driver's License/O[her nu ers are no[ necessary if no Homes[ead Deducdon is
being filed.) _� . �_ 1 n � 1 .
Lost 5 digiGS of Buyer I Dnver's Smre Last 5 DigiS o%Social Sxunry Num6er I Last 5 di
License/ID/Other Number Number
yerl/SpouseDrlveri Sm[e