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Homestead_Marvell
H PREPARER . Preparer of the Sales Disclosure Form Title Closing Team N-5-Meghan Customer Service Team Company Address(number and street.city state country,and ZIP Code) 215 Chesterfield Business Parkway Suite B.Chesterfield MO 63005 Seller 1—Name as it appears on conveyance document Seller 2 Name as appears an conveyer' t7 Lou L.Marvell Christian Price AKA Christian L.Price Address(number and street) Address(number and street) Jq'Y Ai 206 South 4th Street 206 South 4th Street l 5 zu25 City,State.and ZIP Code City,State,and ZIP Cod Francisco IN 47649 Francisco IN 47649j Country Country gSl"� _ C3/ • ON COUP dt. Email Address Telephone Number Email Address ( ) ztai.oxossfrifdmber ) Under penalties of perjury,I hereby certify tills 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 6-1.146.5.A person who knowingly and Intentionally falsifies the value of transferred real;pro ertY.Sr omits or falsifies any information required to be provided.commits a Level 5.felony. Sig t of Sent( ^ Signatu of Sel P e�de Name Seller " I' Date Signed(mmlddyyyy) rNa p A �Ite ne ,��ned )� A ri .�i. rye 1 AP-',1 -r l?.1'y' !' 1r/ .r9 L.. /d /GG! es*!s' J,,,BUYEiR(S)/_i3RANTEE(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 Christian Price Address(number and street) Address(number and street) 206 South4th Street Cdy,State, and ZIP Code City.State,and ZIP Code Francisco IN 47649 COp Country Country Email Address certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Wil this property be the buyer's primary ( 0 3.Homestead O residence? 0 O 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 © 5.Wind Power Device O for this residence?if yes,provide address: 0 © 6.Hydroelectric Power Device Address(number and street) 0 O 7.Geothermal Energy Heating or Coating Device City,State,and ZIP Code County 26-13-19-202-000.141-005 _