Homestead_Dillon Lynch H. PREPARER
Preparer of the Sales Disclosure Form Title
Daphne Kramer Paralegal
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Braodway St., Princeton, IN 47670
I. SELLERS)/GRANTOR(S)
Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on conveyance document
Stephen W.Bockhold pip.,),.,
Address(number and street) Address(number and street)
423 E Glendale St.
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670L-4e4b
Country Ccuntry V?
USA c
E-ma!I address
GA.. rr,��� _ ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and•dtrt g co ct and complete as
required by law,and is prepared In accordance with IC 6-1.15.5.A parson who knowingly and Intentlon / e value of transferred
real property,or omits or falsities any Information required to bo provided,commits a Level 5 felony.
Signature of Seller / Signature of Seller 4(j0/TO
1�"JL/J� R
Printer Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mmldd/
Stephen W. Bockhold
J. BUYER(S)IGRANTEE(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
Michael DeWayne Dillon Lynch Maggie Marie Lynch Dillon
Address(number and street) Address(number and street)
904 N.Seminary St. 904 N. Seminary St.
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 476+70
Country Country
USA USA
E-mail address
Pursuant to IC 6-1.1.12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyers primary O 0 3.Homestead
residence? 0 Q 4.Solar Energy Heating or Cooling System
O C 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 Q 6.Hydroelectric Power Device
Address(number and street) p a 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 2/ ` L- GC-
OC LC
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