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Broker: <br />Robert Bradley Associates, LLC <br />d/b /a CB Richard Ellis I Bradley <br />Licensed Real Estate Broker <br />By: <br />Bradley J. To er <br />Managing Directo , Brokerage Services <br />101 N. Michigan St., Suite 300 <br />South Bend, IN 46601 <br />(574) 237 -6000 <br />2 <br />Owner: <br />a (n) <br />[Print or type legal status of Owner -e.g., partnership, <br />corporation or sole proprietorship -and name of state where <br />formed] <br />By: <br />[Owner or Owner's authorized representative signs] <br />Name /Title: <br />[Print or type name and title of person signing] <br />Address: <br />[Print or type address of Owner) <br />Telephone: <br />[Print or type telephone number of Owner] <br />