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INDIANA SALES DISCLOSURE FORM
SDF ID 26-2009-1000271
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SHERILYNNGREENE
Prepa�r afthe &d� Disclzure Farm
1122 E OHIO ST
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PRINCETON, IN 47670
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-SELLER( RAN MqR( 51 S )
CARL VIRGIL HURT
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Selle
2234 S 650 E
2234 lVY
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FRANCISCO, IN 47649
FRAI
E -mail
Teill
P
inder penalties of perjury, I hereby certify that this Sales Disclosure.
to I id
•ornplete as required by law, and is prepared in accordance with IC 6-1.1
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70 S 650 E
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FRANCISCO, IN 47649
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HE SALES DISCLOSURE FORM NIA Y BE USED TO APPLY FOR CERTAIN DE DUCTI O.N'S FOR THIS rlFY ALL OF THOSE THAT
p— I. Will this property be the buyer's primary residence? Provide complete
-
Homestead
�eslead
address of primary residence, including co unt%.
Solar Enersry Heatim,/Cooline System
2234 S 650 E
F- 5. Wind Power Device
.Address (Xumber.ndk,,d
FRANCISCO. IN 47649 Gibson
r 6. Hydroelectric Power Device
CoiaSwe..ndZJPCaJ, Caamr
r 7. Geothermal Energy HeatinJCooling Device
F- 2. Does the buyer have a homestead to be vacated for this residence? If
r 8- Is this PT0per1v a residential rental property?
yes, provide complete address of residence vacating, includinq county:
F- 9. Would vou like to recieve tax statements for this property via
e-niaii? (Provide cnntaciiMfni771cizionbelo%, Please see /he
Addrcs, (N..Ber and S,re,,)
Om 5rme. and ZIP Code
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Under penalties of perjury. I hereby certify that this Sales Disclosure . to the best of my Knowledge and belief. is true, correct and complete as
required by law. and is pre are in ante 'C 6-1.1-5.5. "Real Property
Sales Disclosure Act". (Note: Spouse Information. Social Security
and Driver's ce se/ottF" er a not . or u essary if no Homestead D u ct'on
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CONFIC-EtMAL CONFIDENTIAL CONFIDENTIAL
CONFIDENTIAL CONFIDENTIAL C0J4FIGE;,1TJAL
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