Homestead_Romans 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 Street, Princeton, IN, USA, 47670
I. SELLERS)/GRANTOR(S)
f Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyan ocument
S & G Enterprise, Inc.
Address(number and street) Address(number and street)
11762 W 800 S
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665
Country Country 1 2 2
u �3 r
USA
E-mail address
to the best of my knowledge and belief,is true : d complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies P. • 64, of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of ler IIL Signature of Seller
-ibCX/VA
Printed Name of Seller Date iriqngt d yy) Printed Name of Seller Date signed(mm/dd/yyyy)
Scott Garret, Incorporator 10
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
Linda K. Romans
Address(number and street) Address(number and street)
916 Maxwell Avenue
City,state,and ZIP Code City,state,and ZIP Code
Washington, IN 47501
Country Country
USA
E-mail address
used to 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 ® 3. Homestead
® residence? O Q 4. Solar Energy Heating or Cooling System
O CD for
Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence? If yes, provide address: O O 6. Hydroelectric Power Device
Address(number and street) O Q 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
fib -\ Zq-100-00Li. F Icf — 02l
"'"
20 Pay 20 Lesser of 60%of the assessed vall,e_ _•_-estead or S45 ODe
Notwithstanding any other provision the sum of the deductions provided in lC 6-1 1-12 to a mobile home that $
is not assessed as real property or to a manufactured home that!s not assessed as real property may rot
exceed one-half(1/2)of the assessed value of the mobile manufactured home ((''
Signature of Auditor Date Signed(month,day yearl '
ODSL
DISTRIBUTION: Original-County Auditor File-Stamped Copy-Taxpayer
\(„.„k
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