Homestead_John Jr H. PREPARER
Preparer of the Sales Disclosure Form Title
Jerry D.Stilwell Attorney at Law
Company
Address(number and street,city,state,country,and ZIP Code)
302 N.Prince Street Princeton,IN,USA 47665
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyan o ment
MaryAnn Tate
Address
ess(number and street) Address(number and street)
1:<<ic4N),
Swallowfield Drive
City,state,and ZIP Code City,state,and ZIP Code G`j'
Princeton,IN 47670i. '�
Country Country C/,SO4'2 �,-e?...,....
USA �r
A person who knowingly and Intentionally falai O value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. .p
Signature of Seller Signature of Seller
nted Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mMdd/yyyy)
Mary Ann Tate by POA James E.Tate 08[n2022
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
John ss numb and
'
Address(number and street) Address(number and street) r'
207 Swallofwield Drive 1_i__.„
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
fBSON AUG 2 6 2022
G
Country Country y'^
USA //lu
to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES '--CONDITION
1.Will this property be the buyer's primary a El 3.Horne�tead
residence? 0 0 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
❑ 0 for this residence?If yes,provide address: ❑ Q 6.Hydroelectric Power Device
Address(number and street) ❑ 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county • 6 •-/ ,j, fj a. - ,z l7 p -62 Q 3, ..37f. 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
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 6 felony.(Note:Both spouse's
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