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Homestead_Rehl H. PREPARER Preparer of the Sales Disclosure Form Title Patti Kolb Closing Manager Company Address(number and street,city,state,country,and ZIP Code) 226 W Broadway St., Princeton, IN 47670 I. SELLERS)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Blane M. Gress Address(number and street) Address(number and street) 3120 E Top Hat Rd City,state,and ZIP Code City,state,and ZIP Code Princeton, IN 47670 Country Country USA 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 Sell Signature of Seller Print Name of"S.eller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) a / 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 Triston Rehl Address(number and street) Address(number and street) 1201 N Robb St. City,state,and ZIP Code City,state,and ZIP Code Robinson,IL 62454 Country Country 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 ap c YES NO CONDITION YES NO CONDITION 4,2 O 1.Will this property be the buyer's primary O 0 3. Homestead residence? 0 O 4.Solar Energy Heating or Cooling • } 2.Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device C ~ 0 for this residence? If yes,provide address: 0 O 6. Hydroelectric Power Device Z Address(number and street) O Q 7.Geothermal Energy Heating or C ling eviEP p City,state,ZIP code,and county 24-J, -'5- 2 o -6)493 -o�7