HomeMy WebLinkAboutHomestead_Conner (3)INDIAN:� SALES DISCLOSURE FOR�I
SDF fD 264009-7000378
i. Pj2EPARER" �'�l T�:: -,z ...:':t r � � g s ,_ �-_ ; �
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J. ROBERT KINKLE HALL, PARTENHEIMER 8 KINKLE ATTORNEY
_ Prrparer o(rke Sules Dis�latvrc Form Tt(e
�9 N. HART ST., PO BOX 13 HALL, PARTENHEIMER & KINKLE
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PRINCETON, IN 47670 (
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�:$ELLER(S)/GR.�\'TOR(S)�t: r � ' i ; t' , -;,, y,�, i :�t. ,t . i,-�:« .•.. ' :
CONNIE L. BREITEN, CO-PERSONAI REP. THE ESTATE OF MARY J. MARY PAT BURTON, CO-PERSONAL REP THE ESTATE OF MARY J.
St!(tr -:\'nmr ns apyerm' en .'oma�rnnre datumertl Sel/er ^:tl�mr as oyptars on rom'c�•ance Aorunrtnt
PO BOX 167 PO BOX 167
A:kfnns {:�Smrhes rtnd Srrrn� ANrrss (,\i�mGr and SbrrU
PRINCETON, IN 47670 PRINCETON, IN 47670
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Jnder penal[ies of perjur��, I hereby certify that this Sales Disclosure, to the bes[ of m�� knowledge and belief, is true, correct and
omplete as r uired b�� la��, and is prepared in accordance �eith IC 6-1.1-�5, "Real Prope t}• Sales Disclosure Act".
i! �.L/LLc.0 ��P.(.lD�' � w—
igreamre oJ Seller �� I Si�l,amrc oJ!Srfln
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JESSIE C. CONNBR
i'rr - Name �u epprors on
PRINCETON, IN 47670
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�HF SALF.S DISCI.OSURF FORDI Ala\' BE UtiED TO AYPI.}' pUR CF li 1�.11�
� I. H'ill this propem be [he buper'� priman' residence? Provide comp�
addrcss of primary residcncc. including connty: �
972 S. 150 E.
d`/In•ss ry\'unrMr mld Sireetj
PRINCETON, IN 47670 Gibson
Cint Smte. arrd7JP Codr Cornert'
r 2. Dces the buyer havz a homestead to be vacatzd tor this re>idence? ]f
yes, pro��ide compk[e address o(recidrnez vacatine. including counry:
.4ddrta (d'um.bzr ard S/rre[1
Cirv, 9um. rvul LP CaAr Counrv
Prir.trA
e
Bvicer -:\'nmr as nppem> nn romvvnnce
d�Lirrss lhY�mbrr urd StrecA
Sign Da:e
Trlephonr,\5�mbtr f-nrail
r 3. Homestead \
r d. Solnr L-nere�ihaune/Cooling System
r �. Wind Power Decice
r 6. Hydroelectric Powzr Device
r i. Geothznnal Enzrw Hea[inelCooline De��ice
r S. Is this propem a residcntial rental propert�'?
r 9. lVovld }�ou like m recieve tas statement; for thii propem via
z-mail? /Prmdde conmct infornmtion helme. Plense see rhe
mrtrnc/ions for more injonnafiou. Vor m'ailable in al/ co�mties.J
nnme
n er penalties ot perjunt I herebr certifi� tha� this Sales Disclosure, to the best of mc Anowletlge antl bellet. is true, correct antl comple[e as
reyuired br la�r, and is prepared in accordanre ���ith IC 6-I.1-i5, "Real Property Sales Disclosure Act". �\o[e: Spouse Information, Social Sewrin�
aod Drieer's LicenseJother numbers are not necessan� if no Homestead Deduction is being filed.)
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