Homestead_Schafer (6) 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
1 SELLER(S)IGRANTOR(S)'. .
Seller 1--Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Kenneth C.Schafer Linda G.Schafer
Address(number and street) Address(number and street)
P.O. Box 155 P.O. Box 155
City,state,and ZIP Code City,state,and ZIP Code
Patoka, IN 47666 Patoka, IN 47666
Country Country
USA USA
E-mail address Telephone number E-mail address
Under penalti es of perjury,I, erebyce hrtify this Sates Disclosur e,to the st of be 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 wile knowingly and intentio tally falsifies the value of transferred i.
realp.`roe
P.rtY.or omits:or;falsifies any Informatlon required;to be provided,,commits;a Level:5.felony '
Signal e of Seller, /� Signature of Seller J{ Q
,Priried Name of Seller Date
s�signed mm/ddl Print d Name of Seller Date signed mmldd/. 9 ( YYYY) .yZ� 9 ( YYYY)
Kenneth C. Schafer f-_ // ? Linda G. Schafer /e o 3
1.: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
Norena J. Schafer
Address(number and street) Address(number and street)
3367 S US Highway 41 ..
City,state,and ZIP Code City,state,and ZIP Code r., "
Princeton, IN 47670r�
Country Country
• USA
E-mail address
apply.for certain:deductions,Identify.all:of.those that apply ~:
t I YES NO CONDITION YES NO CONDITION
c•.1 O O 1.Will this property be the buyer's primary O 0 3.Homestead
�-- residence? 0 0 4.Solar Energy Heating or Cooling System
O of O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
10 for this residence?If yes,provide address: 0 i 6.Hydroelectric Power Device
p . 6j Address(number and street) 0 (] 7.Geothermal Energy Heating or Cooling Device
M3367 S US Highway 41
ity state,ZIP code,and county t
rtnceton, IN 47670 l - fll7 0 ���-C7
--12,-
Under penalties of perjury 1 hereby certify that th€s.Sales Disclosure,;to the:best of illy knowledge and;belief Is true,correct and complete
I as required by law,and is,prepared in accordance with IC 6 1'1 5 5,A person who knowingly and intentionally falsifiesthe value of
r.1 p transferred real property,or omits or falsifies any Information required be'provided commits a Le: i 5 felony (Note„Both spouse's
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