Homestead_Gulley H. PREPARER
Preparer of the Sales Disclosure Form Title
Jerry D. Stilwell Attorney at Law
Company
Address(number and street,city,state,country, and ZIP Code)
302 N. Prince Street Princeton, IN, USA 47665 -
I. SELLERS)/GRANTOR(S) -P,ic,
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conv'Ze m
Estates of Anna Gail Ash and Sandra A. Gendren
Address(number and street) Address(number and street) 44)
909 N. Second Street ?0 ?O?/
City,state,and ZIP Code City.state,and ' •.de 7
Winslow, IN /esO -
Country Country �COU�k \ /t�
USA IyA \J
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.
Signa re of Seller �� Signature of Seller
Print
e Name of Iler Date signed mm/dd/ y) Printed Name of Seller Date signed(mm/dd/yyyy)
Danny Stone �,/d/ a- 7
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 conveyance document
John Gulley,Jr. .
Address(number and street) Address(number and street)
402 W. Main Street O
City,state,and ZIP Code City,state,and ZIP Code -
Francisco, IN 47649 _ N
Country Country . CO 24
USA
E-mail address
to apply for certain deductions.Identify all of those th ly: 0
YES NO CONDITION YES NO CONDITION m
1.Will this property be the buyer's primary ❑� 0 3. Homestead
❑ residence? ❑ ❑ 4. Solar Energy Heating or Cooling System
0 O 2. Does the buyer have a homestead to be vacated El El 5.Wind Power Device
for this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
7-1.•13- i 9-2402- ono. 2L1a. a9$
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