Homestead_Turpin (6) _ .•. - - - - --- --_. - .. __-_- a., -.._..+-..- -..- - - -._-._ ._.— a:...0_- - '+:.n-as _i=- '.rs�a•— -s--rs-a r1.-s=........�. .�. ___ •
H. PREPARERI _
Preparer of the Sales Disclosure Form ITitle
M) 1.315 et- —T(PQPR. ___
Company
Address (number and'? street, city, state, country. and ZIP Code)
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I. SELLERS)/GRANTORS)
Seller 1 - Name as it appears on conveyance document Seller 2 -Name as appears on cony . .- •ocument
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Address (number and street) Address (number and street)
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City, State, and ZIP Code City, State, and ZIP Code - -OC_-
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Country --- Country of -. --- - vl3 ---. _
best of my knowledge and belief, is true;�i , and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifiesliie value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Signature of Seller Signature of Seller
Printed Name of Seller r ate Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mmldd/yyyy)
M)&fQ V_L►�i-1_L . ! o - a tQ5 _ _ _ . ,
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 appears on conveyance document
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Address (number and street) Address (number and street)
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City. State, and ZIP Code City, State, and ZIP Code
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Country Country
4 I ,gs 0 6‘ (3s0v,i -. --
YES NO CONDITION YES NO CONDITION
5( (-1 1. Will this property be the buyer's primary Ver 0 3. Homestead
O residence? 4. Solar EnergyHeatingor CoolingSystem
0 0 Y
ci 2. Does the buyer have a homestead to be vacated 0 0 5. Wind Power Device
0 for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device
Address (number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County Atr , — l , O s Doi . Liai
_ 02.4
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 prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of
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