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Homestead_Reed (3)
i H. PREPARER. Preparer of the Sales Disclosure Form Tine I Claire Kincaid Settlement Agent _ Company ^! �/� ('/� I.S£LLER(S}(GRANTOR(S) 1 Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on cony I Czoer Construction and Remodeling,LLC I Address(number end street) Address(number and street) 650 E.1025 S. /11ry,Af �Q 6, City,state,and ZIP Code City,state,and ZIP Code 02S Haubstadt,IN 47639 0/ lihk Country Country ON C,OvQ person who knowingly and intentionally falsifies the value of transferred i real property,or omits or fatsifles ny Information required to be provided,commits a Level 5 felony, tratuerjetf Se r r ' _ „ Signature of Seller v1.1/VLY. i Printed Name of Seller I Date sig m nt ) Printed Name of Seller i Date signed(mrmlddtyyyyj James Czoer,Member 1 J I 2 7 ii , J. BUYER(S}IGRANTEE(S)—APPLICATII3N FOR PROPERTY TAU( DEDUCTIONS-IDENTIFY ALL THAT APPLY - - - -- Buyer 1-Name as it appears'on conveyance document Buyer 2-Name as it appears on conveyance document Penny Reed Gordon Reed ddress{numbIrVUv . lice � -ss rrrarnber and s t ii {^ ily ntryy attl ! lb(63t. y� Sc.. 2- L�l elan ff ' , ID � �{'J '.1 I Cou Country ' in 1.Will this property be the buyer's primary residence? D 3.Homestead D 03 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated D ® 5.Wind Power Device for this residence?If yes,provide address: 0 ( 6.Hydroelectric Power Device Address(number and street) D ® 7.Geothermal Energy Heating or Cooling Device City,State,ZIP code,and county -3 C- ?-0 0- 0o 2_. So 1- ©Z �6-1 �8 - y . 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 5 felony.(Note:Both spouse's Page 3 of 5 f, '; Page 3 of 5 ;R, ,y