Homestead_Campbell H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N Hart St, PO Box 13, Princeton, IN 47670 •
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as app on o eyan ument
STEWART P.ARMSTRONG
Address(number and street) Address(number and street)
5875 S 1075 W net
City,state,and ZIP Code City,state,and ZIP Code 25 90
OWENSVILLE, IN 47665 ` 23
Country GIBSON Country GiesO
Nco2
E-mail address
4 L/O, •
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Under penalties of perjury,I hereby certify 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 i formation required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
Printed Name o Seller Dates ned(m dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
STEWART P. ARMSTRONG —/0_O--- ZOL3
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
STEVEN CAMPBELL CASANDRA CAMPBELL
Address(number and street) Address(number and street)
104 E Rosedale St 104 E Rosedale St
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN, 47648 Fort Branch, IN, 47648
Country Country
GIBSON GIBSON
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
O O 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
D6 -I -24-ZQ 4 -0 0 0 . 10 - 0 a‘
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
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