Homestead_Starkey 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. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on convey document
David L. Fithian
Address(number and street) Address(number and street)
8055 S 600 W -14,
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665 NO// AO
Country Country C, I ,
USAG/ 6Z3
E-mail address
Co�21� )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is tfire�� t and complete as
required by I w,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifl�9i9�1ue of transferred
real prope mit sifies any information required to be provided,commits a Level 5 felony. 06,
Sig Signature of Seller
' Printed a Iler Dat signed m/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
David ' an j. L ' ,2 3
J. BUYER(S)/GRANTEE(S)-APPLIC TIO 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
Nathan Starkey
Address(number and street) Address(number and street)
343 S Co Rd 250 W
City,state,and ZIP Code City,state,and ZIP Code
Sullivan, IN 47882
Country Country
USA
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? O 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 0 6.Hydroelectric Power Device
Address(number and street) 0 p 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
'4-11- 11 - -o - 003 . C+4- 0 28 •