Homestead_Tepe (8) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christine Sullivan Loan Processor
Company
Address(number and street,city,state,country,and ZIP Code)
910 W Main St, Boonville IN 47601
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Daniel R Buck Catherine M Buck
Address(number and street) Address(number and street)
11406 E 1050 S 11406 E 1050 S
City,state,and ZIP Code City,state,and ZIP Code
Lynnville IN 47619 Lynnville IN 47619
Country Country
USA USA
E-mail address
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 prope , r omits or falsifies any information required to be provided,commits a Level 5 felony.
Signs o eller Signatur9 of Selllf r
K/(Z��,CLua-C/dG/T',k•
rinted Name o Seller ----- ate d(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Daniel R Buck 04/8/2022 Catherine M Buck �
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY A T P
ri2r)
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
DENNIS E TEPE DONELLA J TEPE APR 1 4 2022
Address(number and street) Address(number and street)
9257 S 1325 E 9257 S 1325 E
City,state,and ZIP Code City,state,and ZIP Code t) •/l,4'J CG. Et.s
Oakland City IN 47660 OAKLAND CITY IN 47660 G/s N COUNTY AUDITOR
Country Country
USA USA
E-mail address
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 91 0 3.Homestead
O residence? 0 0 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
O O for this residence?If yes, provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County �( A \ _ck pt_ 1 t OO _OO 1, .n �1-__0O' ,
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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