Homestead_Fowler (2) - - — -- — --
H. PREPARER j
• Preparer of the Sales Disclosure Form Title
Allie Hildenbrand Settlement Agent
Company
Address(number and street,city, state,country,and ZIP Code)
901 N.Newton St.,Jasper,IN 47546 j
I. SELLER(S)/GRANTOR(S)
Seiler 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveya d ume t.
Centel Investments Inc
i. Address(number and street) Address(number and street) itOp I
602 E Main St -1
City.State,and ZIP Code City.State,and ZIP Co ,4721
Petersburg,IN 47567 _
Country Country CO/Q
US tiii
Email Address
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.
Se-- eller iii Signature of Seller
�,
Printed a• tl: Date Signed(mm/dd/yyyy) i Printed Name of Seller Date Signed(mm/dd/yyyy)
• Edwin J.Boyd, ` r(c 14LhJ 03/28/2024 03/28/2024
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 ,
Stanley J.Fowler Robin L. Fowler
Address(number and street) Address(number and street)
Ia%1 Ns. SQa AN\ m ' 11%1 N. Solz.lin LV' , - -_
City,State,and ZIP Code City,State,and ZIP Code
Country Country •
US US
YES NO CONDITION YES NO CONDITION
d O 1.Will this property be the buyer's primary (' Cl 3. Homestead
residence? 0 Al 4. Solar Energy Heating or Cooling System
4 o 2.Does the buyer have a homestead to be vacated 0 IX 5. Wind Power Device
. for this residence? If yes, provide address: 0 IX 6. Hydroelectric Power Device
•
dress(number and street) — - O I 7. Geothermal Energy Heating or Cooling Device
y 3� J. 1-1 ‘. ao SA • Dulbols h
,i`isrtYtd ZllP�vode 1-0s4lo County Z�p- G2--`1T—oo8 - ozz . �rJ_ �Q� ,
Under penalties of perjury,I hereby certify that 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.(Note:Both spouse's •
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