Homestead_Johnson (26) H. PREPARER
Preparer of the Sales Disclosure Form Title
Molly Soto Legal Assistant
Company
Address(number and street,city,state,country,and.ZIP Code)
1771 W. Diehl Road, Suite 120, Naperville, IL 60563
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
M&S Properties and Contractors, LLC 'LED
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Address(number and street) Address(number and street) 1 Lam•-{/ -
8165 S.600 W.
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665 MAY 1 0 2�22
Country Country f
r h,, CNTY A�1dITOR
E-mail address
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 any Information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
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c-r, i- t F fb.0-GGC
Printed Name of Seller signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
M&S Properties and Contractors, LLC S/ /z z..L
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
Timothy Johnson Amanda Chantel Johnson
Address(number and street) Address(number and street)
219 S.Seminary Street 219 S. Seminary Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ✓❑ ❑ 3. Homestead
residence. ❑ Ei 4. Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated El El 5.Wind Power Device
for this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device
Address(number and street)
❑ ❑✓ 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County
a6-1Z-o/-4or,- 001 . boy -c2-&
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