Homestead_Bennett (5) 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 con a c or}ment
Gary Gatewood Carol Gatewood �
Address(number and street) Address(number and street)
1139NMainSt 1139NMainSt "b
City,state,and ZIP Code City,state,and ZIP Co IO
Princeton, IN 47670 Princeton, IN 476�� ? /�)
Country Country SC �'�
USA USA tics Q
E-mail address
of my knowledge and belief,Is true,c76jgect 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 5 felony.
Signat re of Selle Signature f Seller
Gee a -�-c
Pill)"ed Nam of Seller at sign (mm/d y) Print ame of Seller Dateli n ( m/ �)
Gary G od �1� a Carol Gatewood \ Ck
J. BUYER(S)/GRANTEE(S)-APPLICATION F R PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPL
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Megan Bennett
Address(number and street) Address(number and street)
217 S Race St -
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
USA
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 Cl 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacatedi 0 O 5.Wind Power Device i
O O for this residence? If yes,provide address: O O 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county t]6.12--0 j — (IQ' —0 0 .195 — Qa •
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