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Homestead_DeFelice 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 .; SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Megan Leigh Stransky r Address(number and street) Address(number and street) F T I J F-�I D 501 Johnson Ave 1 City,state,and ZIP Code City,state,and ZIP Code Princeton, IN 47670 JUN 27 2022 Country Country USA t� E-mail address Telephone number E-mail address /-hee- / (eNber ( ) GIBSON COL i'TY f UDIT Under penaities`of perjury,I hereby certify-this Sales Disclosure,to thebest 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,'cominits a Level 5 felony. .` Signature Sella Signature of Seller rinted N e of Seller Date/signed(ntm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Mega eigh Stransky 3/? 1 4v o_202, 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 Mario DeFelice Emily DeFelice Address(number end street) Address(number and street) 612 Lake Street NE 612 Lake Street NE City,state,and ZIP Code City,state,and ZIP Code Warroad, MN 56763 Warroad, MN 56763 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 Cl O 1.Will this property be the buyer's primary O 0 3. Homestead residence? 0 CI 4.Solar Energy Heating or Cooling System O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device for this residence? If yes,provide address: O t) 6. Hydroelectric Power Device Address(number and street) 0 Q 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county qi3-02-0 Y -?,.o3 - 002 -D01 -O- Page 3 of 5 3