Homestead_Bruce (3)INDI.\NA SALE$ DISCLOSI�RE FORU
Ca55ie L Barren
Heyvrer of[Ar Scles Oiulos�se Form
226 W. Broadway
Addra> (Num4ranA5nirQ
Princeton, IN a7674
Ciry, Smre, anA IIPCode
SUFID
Mithael W S�M+ell
Srller ]� Kume ve vppeun om m�vr`vme Jcavment
3280 E 50 S
Addrtss (NumAer ond SnreQ
Princeton, IN 47670-
cp�, sm�e. o�a z�r eod<
i7l�/�
SDOID 473182
Title
Paee 3
Company
Elizabeih A StiM1vell
Sellrr' Z- Nume m upyenrsm mnvawnre dorumrnt
3280 E 50 S
Addrtn (A'umber ond Sveee�
.
Under penalties o(perjur}•, I her by certi(y that this Sales Disclosure, ro[he bes[ o(my knowledge and belief, is true, correct
and comple[e as reqa�red by la��aryd isgrepared in �ycordance with jQ�(�.1-5.5, ;Real prop�ty S��D'y4closure Act_.
G
-.uv�on o �nnn -c � —nrr���,n
Rick D Bruce
Buyrrt�h'umry .rsonromevanredavmerr,
�L(h'um6erandSverQ
Oakland City, IN 47660-
:��'�,
THE SALES DISCLOSURE FORli MAY BE USED TO APPLY i0N [ERTAIN OEOURIONS
Q ❑ 1. Will this properry be the buyer's prima
residence? Provide complete address o rim
residence, including munty: �
3280 E. 50 S.
.tddress /NUmber and Scree[J
Princelon, IN 47670 GIBSON
Ciqe Sm:e ZIP CaCe Counry
� � 2. Does the buqer have a homestead in Indiana m be
vacated for this residence? If yes, provide
complete address of residence being vaca[ed,
induding county:
Addre�s /NVmber or.d Svre:)
Caunry
7ary E 8ruce \
Buyer?�Nameusappears mm�vevnnredxumen[
Addros (Number ond Strre�]
Oakland Ciry, IN 47660-
CIry.Sms. and LPCode
$�-�-� -��� q��.��4
ALL OF THOSE THAT APPLI'.
QX � 3. Homestead
r 1 c{—j 4 S�la�kne� Iieating/CoolingSystem
� Q 5. �Vind Power Device
� Q 6. Hydroelec[ric Po�ver Device
� Q 7. Geuthermal Energy Heatlng/Cooling Device
� Q 8. Is this property a residential rental property?
❑ Q 9. Would you like to receive tax statements for this
proper[y via e-mail? (Provide contnct informotion
below. Please see ins[ructions%ar mare information.
�bt available i ap counties.)
o��-/a /o. Do. ao3.3�/- 0�7
Rimarv n�ooerq� owner ronmvr namr 6'-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, m the best of my knowledge and belief, is [rue, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.]-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary i(no Homes[ead Deducdon is
�
���d�oJBuJ•erlDriver'S Sm[e Last50
Licensu/ID/OtherNumber
�igi[t o(Social5ecu�iry
Y, \