Homestead_Rodgers (2) H PREPARER
Preparer of the Sales Disclosure Form Title
J. Robert Kinkle Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N. Hart 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
Alan K. Tooley a/k/a Allan K. Tooley Rebecca Beresford _
Address(number and street) (A r" s_(number_and-street)S
7195 E 250 S G�/C//�cS.,,Z •
City,state,and ZIP Code City,.state,-and-ZIP_Code.
Francisco, IN 47649 5il vii-- Ci s 4' 4425,,
Country Country
USA USA
E-mail address E-mail address
Under penalties of perjury,I hereby certify this Sales Disclosure,t';the best of my knowledge and belief,is'true,correct and'complete a
required Walk,and is prepared,in accordance with':Id 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. ;
Sign ure of Seller,____. Signature of Seller
d
rinted Name of Seller Date signed(mm/dd/yyyy) ante Name of Seller tried(mm/dd/yyyy)
Alan K. Tooley 445-1asJ ?r 3/2/2021 Rebecca B.eresfordJ,. A „ /2 21
J.'BUYER(S)/GRANTEE(S) 'APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY ALL THAT
Buyer 1-Name as it appears on conveyance document Buyer •2-Name as it appears on onveyan *u en't
Marisa R. Rodgers Dane M. Queen
Address(number and street) Address(number and street) C/cr,9 ee, Z°zf
2639
9WJulie Drive 63Dria Noot, L
City,state,and ZIP Code state,and ZIP Q' �
Princeton, IN 47670 Princeton, IN 47670 AiiNtiil
/A", Country Country Oii
'L_J • USA _ USA
(i E-mail address
- - - - -- - -
0 Pursuantto,IC 6 1 1-12-44„the Sales Disclosure',Form may;be used;to apply for certain deductions•Identify all of thos_a that apply '
( YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 3. Homestead
lT O
Qr... residence? 0 121 4. Solar Energy Heating or Cooling System
or)I ® O 2. Does the buyer have a homestead to be vacated 0 V 5.Wind Power Device
pfor this residence? If yes, provide address: 0 (21 6. Hydroelectric Power Device
Address(number and street) 0 g 7. Geothermal Energy Heating or Cooling Device
t 2639 W. Julie Drive Gibson
In City,state,and ZIP Code County
T Princeton, IN 47670 a Q - la- dQ-40-a-ootA . lg.?- Qom'.
T
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