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Homestead_Goodson reparer of the Sales Dtsclosue Form Title • Angie Locascio Operations Manager Company Address(number and sheet,city,state,county,and ZIP Code) 9225 Priority Way West Drive, Suite 110, Indianapolis, IN 46240 I. SELLER(S)IGRANTOR(S) Seller 1-Name as It document on conveyance docuent Seer 2—Name as appears on conveyance document Daniel S. Yancy Charlotte M. Yancy " r °Address AZ-. 1) r a i r 4/II- _ ,r state,and:ZIP:Code / CtlyAtitte.and ZIP Code j I`r efi� � y2(C 70 k [Aite.#13'� FA C/7C70 U$rdar panattloStlf lfiljitrY, hereby oertitq this Sales•_Otr calla ii ttb Subset of my'kitowl daa and belief,its trus,totrsi and'Uotipls s- " rsgidr+ed'lry1iinr, lid Irprepared Inaccotdatrc lt(i1C +1146. .A ifsaiwho:krtowkigty.nd I iteniloMl�r alslflia t�r•iiiliteritsiiidirrsrf, ,isle pr yi ot"mtdtior relelaei anyinfotrAlitlon requited to be prcvwad,"cormmits a Level f tilorgk :_: •- TI3L -n-7 of :o,�f seller PILA Printed Name of Seller Date i (mnyddiyyyy) Printed Name of Seller } Date ig {rnilVddlylyy) Daniel S.Yancy al/ c1ab1 cV Charlotte M. Yancy .a/AV+,loa 9 J. BUY�S)IGRANTEE(s)—APPUCATION:FOR PROPERTY Y TAX DEDUCTIONS I E : • . y Buyer 1—Name as It appears on conveyance e document Buyer 2—Name as It appears on Sharon Goodson Address 2 ¢flr �� ��^ Address(number and sR 9� ��� C ,state,and��'�--�Ile City,state,and V-Code 0 ( Country MA Country UN COv `- �` ( E-mail address apply for certain deductions:klentlfy aft of those that apply. YEs NO CONDITION YES NO CONDITION 1.WIll thls property be the buyer's primary -- 0 3.Homestead O residence? 0 4.Solar Energy Heating or Cooling System O 2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device for this residence?If yes,provide address: O V 6.Hydroelectric Power Device 1 Address(number and strejrt) 0 ei 7.Geothermal Energy Heating or Cooling Device J-- 0 4 lAJ tuk Cam, 5rt; aksio,ZIP code,and 1 i Q., x J tile0 &fato� 6- 11 - 12-103 -002. �160-VzR ( V thrdattsna tics of perjury,I hereby that this Sales Waalosura to the best of my knowledge and ballet is true.coned and complete -I -