Homestead_Allen H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St, 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
Brandyn Feagley
Address(number and street) Address(number and street)
41-1-N 3 R 05 C 7t� 500/ "
City,state,and ZIP Code //fj 9/ City,state,and ZIP Code y
Country Country
USA d4/I/ ,„,„ '4'7
— 0'es `�,.'c4
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge an ,�`,i�s;true,correct and complete as
v
required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intent ""�V fatsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Ty.1r;m
Signature of Seller .� Signature of Seller t�prTOR
,------
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Brandyn Feagley /-2�2O-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
Angelene Carter Allen Kelly Sparks
Address(number and street) Address(number and street)
1515 15th Street 1515 15th Street
City,state,and ZIP Code City,state,and ZIP Code
Lawrenceville, IL 62439 Lawrenceville, IL 62439
Country Country
USA USA
E-mail address
to Sipply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
I6 0 1.Will this property be the buyer's primary 0 0 3.Homestead
residence? 0 t2S 4.Solar Energy Heating or Cooling System
0 0 2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
for this residence?If yes, provide address: p (0 6. Hydroelectric Power Device
Address(number and street) 0 6/i 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County g6-o'„--
- 22 -100 - no°, is I -oil-
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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