Homestead_Tepe (10) 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 FILED
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 APR 2 0 ZOZZ
Country Country �r
USA USA ��,r.1 a. 1r� o
E-mail address Telephone number E-mail address GIBSO►� �r
( ) ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
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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 ,or omits or fies any information required to be provided,commits a Level 5 felony.
Signatur Iler Sign Jre of Seller
ft
P Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Daniel R Buck 04/8/2022 Catherine M Buck 04/8/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Bu er_1-=Name as it appears on conveyance document Kyle Tepe Buyer 2-Name as it appears on conveyance document
Address(number and street) Address(number and street)
9257 S 1325 E
City,state,and ZIP Code City,state,and ZIP Code
Oakland City IN 47660
Country Country
USA
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES- NO CONDITION--
66 O 1.Will this property be the buyer's primary ® 0 3. Homestead
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: O 0 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County
6- .2/- a 9- YoD - d0 /. 959-ao/
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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