Homestead_Shearer . .
H. PREPARER" - • ' ' ' Al • , •:. •4: ; ' 1.1,:-1 • •• •' ,t'
Preparer of the Sales Disclosure Form Title
Jeremiah Larson Legal Assistant
Company
Address(number and street,city,state,country,and ZIP Code)
1771 W. Diehl Road, Suite 120, Naperville, IL 60563
I.SELLER(S)/GRANTOR(S) ••.
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Martha Sue Turpin a/k/a Martha S.Turpin
Address(number and street) Address(number and street)
128 East Pinkney Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country Country
United States
Email Address
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. . .
'efo'naturs of kII-. .... Signature of Seller
W.,-1—.1•:.... . A I G
Printed Name of Salle Date§ignel(mm/dd/wyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Dennis R.Turpin, II,AIF 01 _it .21),Qg
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—_ _ IDENTIpFY AT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2—Name as it appears on co ya ent
Kacey Shearer
Address(number and street) Address(number and street)
128 East Pinkney Street /114P/5
City,State,and ZIP Code • City,State,and ZIP Co
Princeton, IN 47670 ••••7_ '
7 -
Country Country
Q1"90
ilie...
United States, Co c?
• ,
Email Address
If
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Pursuant to IC 6-1.1-12-44,the Sale k Disclosure Form,rney be used to apply for certaln-deductions.Identify ail of thddirethat apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 0 3.Homestead
e 0 residence? 0 C) 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
0 2 for this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device
Address(number and street) 0 ( 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County /2..t 1 1 ,0 1- Gik.) -ou 2 967. u2s
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