Homestead_Carter (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Leon C. Stone President
Company E-mail address
Address(number and street,city,state,country,and ZIP Code)
226 West Broadway Street, Princeton, IN 47670
•
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Christopher M. Marsh •
Address(number and street) Address(number and street)
403 E. Old Petersburg Road
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail address
( )
Under penalties of perjury,I hereby certify 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 transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sig re of Sell r Signature of Seller
7/4. -77/WI'4
Printed Nam of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Christopher M. Marsh u2/26/21
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
Adam Carter
Address(number and street) Address(number and street)
724 S. First Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail 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: 0
YES NO CONDITION YES NO CONDITION co
co
0 0 1.Will this property be the buyer's primary Wi 0 3.Homestead z m Fr
residence? 0 (I 4.Solar Energy Heating or Cooling System 8 N F.
0 2.Does the buyer have a homestead to be vacated 0 121 5.Wind Power Device o
for this residence?If yes, provide address: 0 (I 6.Hydroelectric Power Device y C
Address(number and street) 0 QJ 7.Geothermal Energy Heating or Cooling Dqi;ct,
City,state,and ZIP Code County
26-12-18-203-000.099-028 co
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