Homestead_Rostron (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St, Princeton, IN, USA, 47670
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on cony nce document
Kenneth R. Buehner
Address(number and street) Address(number and street)
900E Vine St 1:4
. \\
City,state,and ZIP Code City,state,and ZIP Code Sep
Fort Branch, IN 47648
Country Country 1�0
Gies„ 2l
USA N T-le hone number
best of my knowledge and belief,Is tru' ' 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 Alp•slue of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signs re of S Iler Signature of Seller
Printed Name of Seller Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Kenneth R. Buehner 9 ( '7 ( Z-2--
J. BUYERS)/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
Andrew J. Rostron Bruce W. Rostron
Address(number and street) Address(number and street)
2120 Ashton Court,Apt 7 : IC). ? S-iSt,E
City,state,and ZIP Code City,state,and ZIP Cod
Princeton, IN 47670 `-T aU �
` t f , rl. �-1(o 3C1
Country Country
USA USA
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 0 3. Homestead
(I) O residence? 0 C) 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
O O for this residence?If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county ,c,_tcl _ j Q-3 014 - do o. 03 4- -d2 6 .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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