Homestead_Davis (29) H. PREPARER
Preparer of the Sales Disclosure Form Title
Melissa D. Baker Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W. Broadway Street, Princeton, IN 47670
I. measitSELLER(S)/GRANTOR(S) F EEn
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on e n doc nt .J■
Robert M.Wood
Address(number and street) Address(number and street)
504 W. Monroe Street APR 2 8 2022
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 6/so'f `n4)
Country Country G%BSON COUNTY AUDITOR
USA
E-mail address E-mail address Telephone number
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 fly information required to be provided,commits a Level 5 felony.
Si/gj�atur of �r falsifies
Signature of Seller
Printed Name of Se er Date 'gned mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Robert M. Wood V 2�2 P 2-2-
.1. 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
Jennifer Davis Scott Davis
Address(number and street) Address(number and street)
7912 S.Andee Lane 7912 S. Andee Lane
City,state,and ZIP Code City,state,and ZIP Code
Ft. Branch, IN 47648 Ft. Branch, IN 47648
Country Country
USA USA
E-mail address
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:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
O O residence? 0 O 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 i 6. Hydroelectric Power Device
Address(number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
a6-\2 - o1-3o3 -Doti . 177-o28 -
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