Homestead_Birch H. PRE9ARER ^
Preparerofthe Sales Disclosure Form Title
Lindsay K8, Phelps Searcher
Company
Address(number and street,city;state,country,and ZIP Code)
22OVV Broadway Street, Princeton, IN, USA, 4707O
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1. ��EL0ER(s)/��RA�T��k(m)
Seller 1-Name anit appears on conveyance document Seller 2-Name an appears on conve a,'u/�nt
Melinda Bradshaw Preuoz , ' ~
Address(number and street) Address(number and street) -
5O5N Main Street _4� '
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City,state,and ZIP Code City, and ZIP
Patoho, |N4T88G
Country Country
USA .
E-mail address
best of my knowledge and belief,is true,C0190ct and complete om
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 tohn provided,commits e Level 6felony.
Signature nfSeller Signature ofSeller
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P�ntedx��e�-of��ner C���� � ^' � �~`� D ^ ' PriniedName ofGeUer Date signed(mm/dd�yyy)
W4e|indaBnadohavvPneuaz | �� / �-�/�' �
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J. BUYER(S)IGRANTEE(s)-APPLICATION FOR PROPERTY TAx DEDUCTIONS-IDENTIFY ALL tHAT APPLY
euyurI-Nomuositoppeamonpzovoyonmedooumant auyoro-wamoositappeamonconveyanceducvmont
Carter A. Birch
Address(number and street) Address(number and street) '
108South Spring Street,APT7F
City,state,and ZIP Code City,state,and ZIP Code
Princeton, iN47G7O
Country Country
USA
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION ' YES NO CONDITION
2 O `1 Will this property be the buyer's primary @] 03'Homestead
residence? [] E 4,Solar Energy Heating or Cooling System
O B '2 Does the buyer have o homestead to be vacated [] 05.Wind Power Device
for this residence?|f yes,provide address: [] E] G.Hydroelectric Power Device
Address(number and street) [) a 7-Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county /
000
Under penalties ny perjury,|hereby certify that this Sales Disclosure,»o the best nx my knowledge and belief,is true,correct and complete
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