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Homestead_Williams (21)
H. PREPAREl2. .•:. . •. Preparer of the Sales Disclosure Form Title Renee R. Black Attorney Company Address(number and street,city,state,country,and ZIP Code) 302 E.Main Street, Francisco, Indiana 47649 ' i; SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Wendy L.Williams(F.K.A.Wendy L.Tuley) Roy Elmer Williams, III : Address(number and street) Address(number and street) 1246 N 100 E 601 West Monroe Street City,State,and ZIP Code City,State,and ZIP Code Princeton,Indiana 47670 Princeton, Indiana 47670 Country Country USA USA required by law,and,lapprepared:In accordance witrh IC+6-1104;;I*perpo`b Who;knowingly:end.Intentionally falslfles•thb value oftransferred' real;property;`or'omits or'falsifles:ariy:information r!equired;to beproilded,;commits'a L0'vel.S felony.` . • I. ' S”. _of S:I e 9//It f to f Sel1e �G 1 Printed N-; f Seller��jr!! G Date Signed mm/d �' 9 ( d/Yyri) Prin d Name of Seller Date Signed(mmlddlyyyy) Wendy L illiams 05/02/2025 _Roy Elmer Williams, III 04/30/2025 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY• • •• ••. Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it a e - .n nve ant Wendy L. Williams Address(number and street) Address(number and street) 1246 N 100 E City,State,and ZIP Code City,State,and ZIP Code MAY 0 6 2025 Princeton,Indiana 47670 Country Country USA �f��[so 1j�_ 'YES NO CONDITION O D 1.Will this property be the buyer's primary © 0 3.Homestead 1 residence? 0 © 4.Solar Energy Heating or Cooling Syste D 2.Does the buyer have a homestead to be vacated 0 El 5.Wind Power Device �) for this residence?If yes,provide address: 0 © 6.Hydroelectric Power Device l�` Address(number and street) 0 El 7.Geothermal Energy Heating or Cooling Device ' City,State,and ZIP Code County a6.12 - c9 C—700-00(4. S — ©ZA- , Under penalties of perjury,I hereby certify that.this Sates Diaclo sum;to the best of my knowledge and belief is.true;mirror ,'and complete I - -. °_ -