Homestead_Cross (2) H PREPARER •
Prepares of the Sales Disclosure Form Title
' Jerry,D..Stilwell Attorney at Law
Company
`.Address(number and street,city,state,country,and ZIP Code)
302.N. Prince Street, Princeton, IN 47670
SELLER(S)/GRANTOR(S) __
Seller 1-Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Roy I. Lynch Donna Lynch
- Address(number and street) Address(number and street)
1500.S 350E 1500 S 350
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN.47670 Princeton, IN 47670 .,
Country Country
USA USA _
E-mail address
•
Under penalties tif perjury,f hereby certify this Sales Disclosure to the best of my knowledge and belief is:title':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 transferred;_
real p(operty, or omits or falsifies any mforap mon uire reqd toli*provided co , its ev a Lelx5felony / : . '', f,
Signjure of Seller Sygna ill of S= er ;er /_ /,
PrintedlWarne of ell Date s•gned( m/dd/yyyy) Printed Name of Seller Date si ned rn/dd/yyyy)
Roy I Lynch 42., pe:�pz1 Donna Lynch
`J BUYER(S)/GRANTEES 'APPLICATION FOR PROPERTY TAX DEDUCTIONS I AL AA LY ~t
Buyer'l—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Brittany-N. Cross Ac� t •
AddressG(number and street) Address(number and street) FEB 2:ZO21
' 799S450E -
City;state,and ZIP Code City,state,and ZIP C
Francisco, IN 47649ca s� un�
Country Country CIBSON'COUNTY`AUDITOR
USA _
-E-mail address
( )
,-ursuant to IC 6 1 1 12 44,the Sales Disclosure_Forrn'may be used to apply;for certain deductions.Identify all_of those thatapply,-. _
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary g 0 3.Homestead
residence? 0 II 4.Solar Energy Heating or Cooling System •
•
D m 2. Does the buyer have a homestead to be vacated 0 l 1 5.Wind Power Device
for this residence?If yes, provide address: 0 (;Q 6. Hydroelectric Power Device
Address(number and street) • 0 g 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code \ County
26—12—I G ,7,,00-obi .saL ,00\
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