Homestead_Parker (6) H. PREPARER _
Preparer of the Sales Disclosure Form Title
Meghan Napoli Netco Title
Company
I Address(number and street,city,state, country,and ZIP Code)
1061 Peruque Crossing Ct, O'Fallon,MO 63366 __,__-
-
I. SELLER(S)/GRANTOR(S) - _.- .!
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Brandy M. Fields
Address(number and street) Address(number and street)
4082 West Split Rail Lane _
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
( )
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 prgperty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signe'Iu,a of Seller I!/) ,4��� Signature of Seller
Prin a Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Brandy M. Fields {-Z 202_1 — -- .._._
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 appear . e nee •
Brandy M Parker and Brian Parker I . �-
Address(number and street) Address(number and street)
4082 West Split Rail Lane APR 01--202Z__
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 .,
Country Country AUDITOR
GIBSON COUNTY
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1. Will this properly be the buyer's primary ❑ ❑✓ 3. Homestead
G El residence? 0 0✓ 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ 0 5.Wind Power Device
❑ 1 for this residence? If yes, provide address: ' 0 0 6.Hydroelectric Power Device
Address(number and street) 0 ❑✓ 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County C�/,1. -O2
ab -09 -�00-003 . qi?�o
3