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Homestead_Jines (7)
H. PREPARER Preparer of the Sales Disclosure Form Title Jerry D. Stilwell Atttorney at Law Company Address(number and street,city,state,country,and ZIP Code) 302 N. Prince Street, Princeton, IN 47670 I. SELLER(S)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Gary W. Jines Robert J. Jines, Jr. Address(number and street) Address(number and street) 1328 E. Taftown Road 1400 E. Indian Creek City,state,and ZIP Code City,state,and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country USA USA E-mail address 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 pro arty,or omits or fats" " ny information required to be provided,commits a Level 5 felony. Sig e of Seller !f�// ature of Seller 4te • Printed Name Seller at signed mm/dd/yyyy) Printed Name of Date signed( m/dd/yyyy) Gary W. ' es d.s/f 2- I-2 2y Robert J. Jines, Jr. ,y ii2- 12.922- J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPER AX DEDUCTIONS—IDENTIFY ALL THAT APPLY Buyer 1—Name as it appears on conveyance document uyer 2—Name as it appears on conveyance document Adam J. Jines gan L. Jines LED Address(number and street) Address(number FImber and street) 1409 E. Taftown RoadVINIIII. 1409 Taftown Road City,state,and ZIP Code City,state,and ZIP Code tip' 13 2022 Princeton, IN 47670 Princeton, IN 47670 Country Country a. �t/��H� USA USA tir,t •f AUDITOR CS71‘ E-mail addressCP Telephone number E-mail address °Mtge:ihom-m nber ( ) ( ) 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: 1 YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary ® O 3. Homestead • O residence? 0 C7J 4. Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device ® O for this residence?If yes, provide address: p 0 6. Hydroelectric Power Device Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device 2225 W 400 S City,state,and ZIP Code County ` - - - 4 0 0-� 9 Q 1-� � Princeton, INN47670 Gibson �L4_.� — Page 3 C--. ©n a OA- SILQ