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Homestead_Besing (5)
H. PREPARER _i Preparer of the Sales Disclosure Form Title Gina Gruse Closer Company Address(number and street,city,slate,country,and ZIP Code) 6402 Railroad Avenue, Crestwood, KY 40014 LI. SELLER(S)/GRANTOR(S)— — reller 1-Name as it appears on conveyance document Seller 2-Name as appears on con need urn artus Financial Corporation Address(number and street) Address(number and slreet) �/`/ 100 Reserve Road 0� City,State,and ZIP Code City,Stale,an I ode 4� Danbury, CT 06810 /6,6 `? Country Country 4/00 Q .USA VN 7. 0 ( ) Under penalties of perjury,I here c ify this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete as required by law,and is prepared n acc rdance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real propert r omits or falsifiel any i fo mationti� requireZI to be provided,commits a Level 5 felony. S �P " �` � Signature of Seller rint d Name of SellerDate Signed(/ftr�i/ddlyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Katnna aradp tttJJJ J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY • DEDUCTIONS-IDENTIFY ALL THAT APPLY Bu N ee as if appears conve ce document :u e -Na,ie a\i1 appearsAconveydo(5nerit, ci — )U I e-T ig\k,, A - c 5 i N() Ad. :ss(number a d s eet) 4 Addres J umber-, -d el) v Ciiy,Oa}y,a Z1 Code L 1 I j j-1�UIr� City,Slate, and ZIP Code Country lr.;� t t-1 II U Country 4., Email Address YES NO CONDITION YES NO CONDITION 0 O 1.Will this property be the buyer's primary 20 3. Homestead residence? 0 2 4. Solar Energy Heating or Cooling System O 02. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device for this residence?If yes, provide address: 0 0 6. Hydroelectric Power Device Address(number and street)} City,State,and ZIP Code County Q QQ 7. Geothermal Energy Heating or Cooling Device �� ly --18-302, _ 0©0. 3Z6 - 001- 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 k r �S;l 1,0._`� '_-. !fie