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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 Page 3 of 5