Homestead_Bockhold 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 onv a e do ent
Patricia Vanoven
Address(number and street) Address(number and street)
2543 W 50 S JO
City,state,and ZIP Code City,state,,and ZIPNe ,
Princeton, IN 47670 •
049,
Country Country QOA-1?-e-e,—,
USA -•Co ‘.-
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.
Signatif Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Patricia Vanoven .2-.ZO^ Od3
J. 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
Mike R. Bockhold
Address(number and street) Address(number and street)
423 E Glendale St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
USA
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 0 3. Homestead
0 0 residence? 0 C) 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 E 5.Wind Power Device
0 0 for this residence? If yes,provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
696 —[ _.c)-7- Do( -c:o9• c7R_-c2ss
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