Homestead_Wright (31) H. PREPARER
Preparer of the Sales Disclosure Form Tile
James G. Mrponalrj-, TTT art ,.
Company
Address(number and street,city.state,country,and Z1P Code)
120 S. Main Street. Princeton. IN 47670
-T.SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on sor L
eft tume�'
Angela Smift x t Eecutrix_ {1�'
Address(number and street) Address(number and street)
1019 PlaxtUn Street 4 2022
Clly,state,and ZIP Code City,state.and ZIP Code Nov 1
Ian rrai_prsnn Tie ?7
Country CountryL
United States c/ail a:4 ;nd)
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 arty information required to be provided,commits a Level 5 felony.
Si nature of Seller ' Signature of Seller
- f�Nt1
Printed Name of alter Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/ddiyyyy)
Angela Smith (O.<9-(g . ,
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL.
iTHAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
_Rnnprta Wright
Address(number and street) +_ Address(number and street)
1 9 Ots) floc-`�-�k a` t,,-l4-ek..D
state,and ZIP Code City,state,and ZIP Code
VC-1-(/1C f''k-e3✓1 ) W L f l(Q - C)
YgS NO CONDITION
/ 1.Wilt this property be the buyer's primary a�- 0 3.Homestead
�`f-' residence? 0 3g, 4.Solar Ener
gy Heating or Cooling System
0
2.Does the buyer have a homestead to be vacated 0 etc 5.Wind Power Device
for this residence?If yes,provide address: 0 6-Hydroelectric Power Device
Address(number and street) 0 7_Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
3of5
copy