Homestead_Lough H. PREPARER
Preparer of the Sales Disclosure Form Title
Gina Gruse Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
6402 Railroad Avenue, Crestwood, KY 40014 USA
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on convey ment
Cartus Financial Corporation
Address(number and street) Address(number and street) �(
100 Reserve Road '44).1
City,State,and ZIP Code City,State,and ZIP Code 0k
Danbury, CT 06810 $
Country Country Q4s, C,.,,, eoz,
USA SO,y%
the best of my knowledge and belief,is true,cd's 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 th- value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of S Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buy 1 —Name as i appears n conveyance document Buyer 2—Name as it appears on conveyance document
PcIISOr\ LOIN
Address(number and street)' Address(number and street)
LiZI4 Yh1 ' PDPIar hie
City,State,and ZIP Code City,State,and ZIP Code
�i�f In LD,tO nl 1 t Li '7'-7 a
Country Country
USA
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 12 0 3. Homestead
O O residence? 0 0 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 05.Wind Power Device
for this residence?If yes,provide address: 0 O✓ 6. Hydroelectric Power Device
Address(number and street) O O✓ 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
4- 11- 12_ - Oo -Col - 1 -1 - 02� .
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