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Homestead_Doughty 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, USA,I 47670
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as ap•-- s on conveyance document
S& G Enterprise, Inc., Scott Garrett, President - -
Address(number and street) Address(numbera street) uy 0
11762 W 800 S x.4 •,.,i,. . , -
$
City,state,and ZIP Code City,state,and ZIP C•'."
Owensville, IN 47665
Country Country t
USA
E-mail address
DD 0 8 2C.tt�2
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and beliefs 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 falsifi s tpRt va lu ransferred
real property,or omits or falsifies any informati n required to be provided,commits a Level 5 fel ..." R
Signature of S�,IIer Signature of Seller GtgSON OUNTY A-�tTO
Printed Name of Seller /Da/te signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
A&G Enterprise,Inc.,Scott Garret,President ?- J— ca
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
David A. Doughty Barbara M. Doughty
Address(number and street) Address(number and street)
406 W Brummitt St 406 W Brummitt St
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
USA USA
E-mail address
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
O O residence? 0 p 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O O for this residence? If yes, provide address: O IJ 6. Hydroelectric Power Device
Address(number and street) 0 p 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
6-/7-ID-„o/-axe-alo- oaf
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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