Homestead_Unfried H. PREPARER
Preparer of the Sales Disclosure Form Title
Patti Kolb Closing Manager
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St., 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
Robert L. Friedman and Marie S. Friedman Rev Living Trust FIT �,T
Address(number and street) Address(number and street) , 1�.J)
2520 W 950 S
City,state,and ZIP Code City,state,and ZIP Code APR 0 5 2022
Fort Branch, IN 47648
Country Country USA e' LCII tzt a. t 7d)
E-mail address address CiIts50N COUNT�(elepPoiin°umber
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.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Edwin V.Schaefer POP,Tor Marie S.Friedman 1 k S I Z,. '2_.-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
Wesley J. Unfried Lauren J. Unfried
Address(number and street) Address(number and street)
703 E. Locust St. 703 E Locust St
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
USA USA
OE-mail address
S
0 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:
V`, YES NO CONDITION YES NO CONDITION
O CD0 3. Homestead
C. 1.Will this property be the buyer's primary
O O O residence? 0 0 4.Solar Energy Heating or Cooling System
1
S O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
cO for this residence? If yes,provide address: 0 p 6. Hydroelectric Power Device
Address(number and street) 0 CI 7.Geothermal Energy Heating or Cooling Device
.- 703 E. Locust St.
t City,state,ZIP code,and county
Fort Branch, IN 47648 26 ' '-24 -4QO --oo2 .317-02,
Under penalties of perjury,I hereby certify that 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
% ,
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