Homestead_Kissel (4) 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, US,47670
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Mark Kissel Amy Kissel
Address(number and street) Address(number and street)
i.-D.--1A---)
City,state,and ZIP Code City ate,and ZIP Code _____..-
Vt••\An e4` Vr.PrE, 17:IVI 416-7° - ',1 nfl f 1-77 I j-14-1 ' 4.745-740
Country Country
USA USA
E-mail address
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.'
Signature of Seller ) Signa of Seller /4 (--1
Printed Name of Seller Date aigned(mm/dd/yyyy) Printed Name, Seller Date signed(i ii/dd/yyyy)
Mark Kissel g /IV?O Amy Kissel'
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APP Y
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Seth Kissel
Address(number and street) Address(number and street)
1035 W 400 S
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
USA USA
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary CI 0 3.Homestead
Cl 0 residence? 0 C) 4.Solar Energy Heating or Cooling System
,-, 2.Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device
0 LIU for this residence?If yes,provide address: 0 C) 6.Hydroelectric Power Device
Address(number and street) 0 C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 4 () —\\.— 3 6-300- 0 oo< 298-024-
3 of 5
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