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Homestead_Gordon
H. PREPARER Preparer of the Sales Disclosure Form Title Brian K. Mahoney Attorney Company Address(number and street,city,state,country, and ZIP Code) 822 E Main St., Petersburg, IN 47567 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Shelby Marie Gordon Address(number and street) Address(number and street) City,state,and ZIP Code City,state,and ZIP Code PeACA(Slp v lrc) r t Li CPS(1.)-4- Country Country United States E-mail address ( ) 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 information required to be provided,commits a Level 5 felony. Sign ure of Seller/]/I , Signature of Seller r ranted Na n�of elTer Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Shelby Marie Gordon I- $-ay 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 conve document Ryan Nicholas Gordon "LEDAddress(number and street) Address(number and street)`71NNla,n Sr City,state,and ZIP Code City,state,and ZIP Code © 1,4h4 Cri ci766o CountryJAN 092p24 Country United States Glee n,�`� E-mail address apply for certain deductions.Identify all of those that a9fily: YES/NO CONDITION IS NO CONDITION O 1.Will this property be the buyer's primary 0 3. Homestead residence? 0 Q 4. Solar Energy Heating or Cooling System O 2(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 ZlQ-1‘--k- Ig- zC.- c000•5.,18'- 0O7 . Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete of 5 p, L43 py