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Homestead_Dunn (4)
H. PREPARER . Preparer of the Sales Disclosure Form Title Sara Tiffert Administrative Assistant Company Address(number and street,city,state,country,and ZIP Code) 1771 W. Diehl Road, Suite 120, Naperville, IL 60563 I. SELLERS)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyarii;e document Great Falls Timber, LLC Address(number and street) Address(number and street) 4748E 100N City,State,and ZIP Code City,State,and ZIP Code `St;�+ Washington, IN 47501 !S ?O?g Country Country USA Email Address -��. ) Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is true;'corregt,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. IIt Signature of Seller Signature of Seller ) 1 /' ►1/1,.,-- �'1A,�L, U✓8c,7rf` 1 ✓Lf� Il l��5 Date ✓2G�rc`f�S%im�Y�L Imo 0 �j 1'�"` ��flig, wEr Printed Name of Seller Da a Signed(mm/dd/yyyy) Printed Name of Seller • Date Signed(mm/dd/yyyy) f/e.Yfr1dhI 14,0 09 fl 9-it-z J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX EDUC O S—IDENTIFY ALL THAT APPLY Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document Taylor Dunn Address(number and street) Address(number and street) 104 N.Cross Street City,State,and ZIP Code City,State,and ZIP Code Francisco, 1N 47649 Country Country United States Email Address apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary O 0 3.Homestead residence? 0 p 4.Solar Energy Heating or Cooling System O 2.Does the buyer have a homestead to be vacated 0 I] 5.Wind Power Device for this residence?If yes, provide address: 0 © 6.Hydroelectric Power Device Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County G\r (0‘ _o oo. Z/ 1-0 0 �I COPY