Homestead_Roe H. PREPARER — — _ _
Preparer of the Sales Disclosure Form Title
Daniel A. Moon Attorney
Address (number and street, city, state. country and ZIP Code)
111 N Hart Street, Princeton, Gibson County, Indiana 47670 ��� y— _i'
6 I. SELLER(S)/GRANTOR(S)
1 Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears_on conveyance document
Eagle Limited Liability Company _
Address (number and street) Address (number and stye
9653E 450 S
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 SEp s
` r
Country ~ Country 2025
USA — ,
0
Email Address
the best of my knowledge and belief; I's'41gj1 ct, and complete as
�e value of transferred
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifie
real pr9 eerty, o mits o sifies any information required to be provided, commits a Level 5 felony. ;i
Signifur f filer
Signature of Seller
.,, I Date Signed (mm;dd/
Date Signed (mm/dd/yyyy) Printed Name of Seller 9 yyyy)
Printed Name of-Seller 9 ( �
Rick Falls, Managing Member 7L-5l2 _�
I` S /GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY 1
J. BUYER( )
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance document
David Roe Cari Roe
Address (number and street)
Address (number and street)
529 W. State Street 529 W. State Street
City, State. and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton. IN 47670
Country Country
USA USA
Email Address
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may:be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary O n 3. Homestead
O residence? ❑ O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 0 5. Wind Power Device
O 0 for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device
Address (number and street)
O O 7. (Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
,A, ---/;?-10 /-(e),5-6(e). (),,, -,3 -, ..Z_)S' ,
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 I�
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
.,
I
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