Homestead_Daniel (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Daphne Kramer Paralegal
Company
Address(number and street.city,state,country,and ZIP Code)
226 W Broadway, Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Lisa Whitehead 1 L L
T
Address(number and street) Address(number andir r l�
5832 W Old Princeton Rd
City,state,and ZIP Code City,state,and ZIP Co e
Owensville, IN 47++6 APR 0 4 z022
Country Country
USA ,rM/
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 roperty,or omits or falsifies any info ation required to be provided,commits a Level 5 felony.
S' urre�oyL��
f_-Seli�l,��4'L � Signature of Seller
rtlSta Name of Seller Date 'gne dd/ Printed Name of Seller Date signed(mm/dd/yyyy)
Lisa Whitehead � 7�
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
William Joe Daniel
Address(number and street) Address(number and street)
574 W Glendale St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
USA
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:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary 0 0 3.Homestead
residence? 0 0 4.Solar Energy Heating or Cooling System
D O 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: D C) 6.Hydroelectric Power Device
Address(number and street) D p 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county G -0 2-O
a6-11-01-404- poi- I2
of 5
CONTRACT