Homestead_Vowels H. PREPARER
Preparer of the Sales Disclosure Form Title
Jill Cooper Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
520 Main Street, Suite 1, Jasper, IN 47546
1. 1SELLER(S)/GRANTOR(S)-Nam rlT r T
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on cony anc o■�,rT fn1!."JI A■J■
Joshua 1-8 LLC lCS&NUO. 1 -7S LLC.
Address(number
number and street) um Address(n a freef
359 S life Q7-i4lf7K, T�Y7S7� _ �r� AUG 2022
City state,a ZIP Code City,state,and ZIP Code
/{ tthiota a. sauDITOR
Country Country G%BSUN GOUµTY
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 prope • omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature o =r J / Signaell l"`mot- l ��/-�� /f - �</`.--"
Printed ame of Sell Date signed(mm/dd/yyyy) tee N e_r! of SellerT'imcst hV Date signed(mmldd/yyyyj
Joshua 1-8 LLC ,.David Lan9h ?\ >oro5huc 1-3LLC, Sc,1vrlLid2,r Adis"6t c, 7022 7 9'--2.2
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
Ondria Vowels Jarod White _
Ad res (nyeipplat and stree Address(number and street)
6,11y,state,and ZIP Code City,si;ate,and ZIP Code
Irx"e lt,y-i -11v 41(1'10
Country Country
E-mail address
Q 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:
r YES NO CONDITION ��YE__SJJ NO CONDITION
Co ❑ 1.Will this property be the buyer's primary D 3.Homestead
residence? ryi: 4.Solar Energy Heating or Cooling System
O- 2.Does the buyer have a homestead to be vacated ❑ 5.Wind Power Device
Nfor this residence?If yes, provide address: ❑ 6. Hydroelectric Power Device
of
0 A ere (nu er ar�p street) ❑ 7.Geothermal Energy Heating or Cooling Device
� �e r /ni f}/Aiv� ^ dy- —l7O3
(4 _ iM fJ Y,1 t�de,a+,d county 4._Hle pc-t 2 I 4 3 I - o
I Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
J 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
p transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
I
/11 '<
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