Homestead_Davis (30) H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St, Princeton, IN, USA, 47670
I. SELLER(S)/GRANTOR(S) T■ -
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on cony c�do umer �J
Cassandra Sue Jane Hall 7 AA
Address(num erand street) �t Address(number and street) NOV 1 4 2022
cit ,state,and ZIP Code City,state,and ZIP Code
Vhi-c-etze-e a. ..).-ki.44,..n.c.
Country Country GIBBON COUNTY AUDITO
USA
E-mail address
( )
Under penalties of perjury,I hereby certify 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,o corn"s or falsifies n information required to be provided,commits a Level 5 felony.
Sig re Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Cassandra Sue Jane Hall I — 3—Z0 2 Z_.
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
Troy J. Davis
Address(number and street) Address(number and street)
7065 S 1100 E
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660
Country
certain deductions.Identify all of those that apply:
YES NO CONDITION YES/ NO CONDITION
ET 1.Will this property be the buyer's primary 6—s/ 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) Q O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county L-‘2._ _01- tkQ 3 _o 0 z 3 2-\O -0 2-o 3
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
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