Homestead_ Smith Jr H. PREPARER
Preparer of the Sales Disclosure Form Title
Daphne Kramer Paralegal
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St., Princeton, IN 47670
I. SELLERS)/GRANTOR(S) t
i
Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on conve:>n'e u t
John Brown
Address(number and street) Address(number and street)
609 N Ford St /
City,state,and ZIP Code City,state,and ZIP Code 4Q ��
Princeton, IN 47670 v � -
Country Country
USA SA G/eSO _
E-mail address
best of my knowledge and belief,is true,c omplete as
required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies the a of transferred
real property,or om or falsifies any Information required to be provided,commits a Level 5 felony.
Signature ell .,., Signature of Seller
rinted Name of Seller Date signed(mm/dd/yyyy) - Printed Name of Seller Date signed,(mm/ddlyyyy)
John Brown .ei )1 1 0Li/a u;}y
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
George Thomas Smith,Jr. Brittany Gilford
Address(number and street) Address(number and street)
229 S Seminary St 229 S Seminary St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
E-mail address
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3.Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: O p 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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