Homestead_Butts (2) H. PREPARER.
Preparer of the Sales Disclosure Form Title
Melissa D. Baker Searcher
Company
Address(number and street,city,state, country,and ZIP Code)
226 W. Broadway Steet, Princet, IN 47670
I. SELLER(s)/GRANToR(s)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Chad Russell Butts Gerna J. Butts
Address(numkrer and street), — Address(number and street)
I li 41 Al ,.5',-,0 6:- i Li-7- ,t) 6 5-€) ----
Vtate,and ZIP Code City,state,and ZIP Code
OLOrsi-%5-r(2-T fl . i-j--npllq . --i=c1_,vit,L•nar., -an'i • Li-76=4g
Copptry Countryt
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 ("N 7;y3ttr=5:aimito
iii...-ti
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Chad Russell Butts ;?....—a->—2:2__ Gerna J. Butts 2- - 2 -4 - .
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
Joseph E. Butts Erj,
Address(number and street) Address(number and street) F IL
93 N 550 E
City.state,and ZIP Code City,state,and ZIP Code MAR 0 1 2°22
Francisco, IN 47649
Country Country
USA ith-er-A"-e &''' jjii;
TOR
( )
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:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary C) 0 3. Homestead
0 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 0
for this residence? If yes,provide address: 0 C) 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county ^X/A'2,71100-001_.E29-0011 -
copy