Homestead_Shoultz H. PREPARER
Preparer of the Sales Disclosure Form Title
Britany Bradshaw Agent
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway, Princeton, IN, USA, 47670
I. SELLER(S)/GRANTOR(S)
--
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Marilyn Sue Arburn, by Josefa K Wade, Personal Rep
Address(number and street) Address(number and street)
830 N Highland Ave
City,state,and ZIP Code City,state.and ZIP Code
Oakland City, IN 47660
Country Country
USA
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.
Signat of Seller Signature of Seller
Pr ed Nam of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
J efa K Wade, Personal Rep 3 ./
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
Jarrod A Shoultz Sonia Rachelle Shoultz
Address(number and street) Address(number and street)
431 E Harrison St 431 E Harrison St
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country
USA USA
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 apple
'YES NO CONDITION YES NO CONDITION ai
1.Will this property be the buyer's primary 0 3. Homestead q
residence? 0 4.Solar Energy Heating or Cooling Sysc) H
2. Does the buyer have a homestead to be vacated 0 fig 5.Wind Power Device o r
for this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device
ti
Address(number and street) 0 (,/J 7.Geothermal Energy Heating or Coolir ice
0
City,state,and ZIP Code County
26-14-18-102-000.495-007