Homestead_SheppardI\DU\.1SALF.SDISCLOSUREFORU SDFID SDOIU 936711 � Pa¢e2
•D.PREPARER
Marc L. Griffin Attomey at Law
Preyaru o/Ne Sa/es Dkdosvre Form 77tle
21 N. MadisonAve. Grifiin, Hicks & Hicks, Attomeys at Law
Addrtss(XumbrrmMStrert) Compvnv
Greenwood, IN 46142-4728
Cig, Smre, aMLPCaEr TefeGhone Number f�mai/
E. SGLI:ER S GRANTOR S �
Halifax Finandal Group, L.P.
SNkr 1- Some os aYpears am m�ve}nnn dxument SNkr 2� Nume ns uppeu�s am m�repan¢ daoument
827 N. MadisonAve.
Add�ets (NUmbe� ond5treet) ACdress (A'umber aadSVeeU
Greenwood, IN 46742�128
GrySlntq and Z/PCode Ciry, Smte, anAZIP Lode
Tele Ironekvmber E�maN
Under penal[ies of perjury, I hereby cer[ify [hat this Sales Disclosure, [o the best of my knowledge and belie(, is [rue, correc[
and comple[e a re uired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
S�reoJSe�� SignamreafSeller
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F. , -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDEA'TItYALLITEMSTHATAPPLY
Todd E. She a Mgie L. Stremminq
u�er 1� fJame os oppmrs on ronve�vnce Accumen[ Buyer 2- Nome rts np�xors on rorn'eynnre davment
NO2 Easl 750 South 1702 East 150 South
.tddresa (AUmtier ondSo-eeq dCdreu (,YUmberand SureQ
Princeton, IN 47670- Princemn. IN 47670-
City.Smte. ond ZIPCode Ciry. Smte. mid 2fP Cwfe
E�mail Tele honehbmber Email
THE SALFS OI5C605U0.E FOMI AIAV 6E OSED TO APPId' FOR CERTAIV DEDUCfI0N5 FOR TNIS PPOPERTV. IDENTIFY ALL OF TIIOSE THAT APPLS.
�'ES NO COYDITION
❑X ❑ 1.lNill this property be [he buyer's primary I�X � 3. Homestea
residence? Provide complete address of pr . Solar 8nergy Heating/Cooling System
residence, induding county: ❑ �
7102 EAST 150 SOUTH 5. 4Vind Power Device
Adlres(NUmberond5veeq ❑ Q 6. Hydroelech�ic Power Devi�e
Pnnceton, IN 47670 GBSON � � 7. Geothermal F.nergy Heating/C,00iing Device
Gtv, Smte ZIPCadr loun9•
�� 2. Does the buyer have a homestead in Indiana �o be � Q$� �s ihis properry a residentlal rental properry?
vacated for this residence? If yes, provide ❑ � 9• WQUId you like to recei:�e tax sratements for Ihis
cu�np;eie address of residence being vacated, property via e-mail% (Pivvide confact in(onnotion
including county: 6elow. Plense see instructionsfor more informntron.
Not wai(able in aIl counties)
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R1mai}' pmPerl�' o�rner mnmrf mm�e E-mail
Under penaltles of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, wrrect
and complete as required by law, and is prepared in acwrdance �vith IC 64.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbe • are not n ce ary if no Homestead Deducdon is
being f�� �J��e�s7
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