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Homestead_Schmitzerle
1 H. PREPARER _ _i Preparer of the Sales tD Title �isclosure Form - l Company E-mail address ( I. SELLERS)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document ` Abe r+ C-a. Lot l .r. Address� (number and street) Address(number and street) T C\ LA)• LOCE:,V1.•f\Sj" "`(c T- - City, state,and ZIP Code �J City, state,and ZIP Code O etiY\o r\A C 1 h-- I N - *ilk ti20 Country Country E-mail a dress ( ) Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is true,correct and complete as I 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. , Signatur�of eller,/J* �y Signature of Seller i Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Rc4 ..7`_ er GO,-tsdA/ /!3v —2./ 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 m „Z� SCINDieli FILED Address(number and street) Address (number and street) '21a - ,: c SA- City, state,and ZIP Code City, state, and ZIP Code C=oAcVt_r�d , 1.K. 4 (3210 > NOV 3 0 2021 Country Country f� 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: • -i ` YES NO CONDITION YES NO CONDITION . 1.Will this property be the buyer's primary Cr-- 0 3. Homestead '5 �,;,t - residence? 0 0 4. Solar Energy Heating or Cooling System Q ©/ 2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device11 for this residence? If yes, provide address: Q 0 6. Hydroelectric Power Device �� i Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device City,state,and ZIP Code County - — 1 y—1 — 3 0 2,._000..f3M--001 • 3 -......