Homestead_Barry H. PREPARER
Preparer of the Sales Disclosure Form Title
Colleen Lewandowski. REO Team Lead.
Company
Address(number and street,city,state,country,and ZIP Code)
420 Rouser Rd., Building 3, Floor 5, Moon Township, PA 15108.
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
PennyMac Loan Services, LLC
Address(number and street) Address(number and street)
3043 Townsgate Rd. Suite 200
City,State,and ZIP Code City.State,and ZIP Code
Westlake Village, CA 91361
Country Country
United States
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.
Signature of Selle4 j ,yl Signature Seller
Printed Name of SQyelly McFarland Dat i ned(pim/ctd/yyy Printed Name of Seller Dale Signed(mm/dd/yyyy)
Flirt\Ate President. PEn ,}U(�//11{C/
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL TH APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyan
MICHAEL BARRY
Address(number and street) Address(number and street)
491 W 350 S 4/9p '' 'ss&
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Oz., t%
Country Country 00 - Q
Gibson ti0 �y j
certain deductions.Identify all ofi't t apply:
YES NO CONDITION YES NO CONDITION 41'
w a 1.WII this property be the buyer's primary a DJ 3.Homestead
residence? pa (,aa 4.Solar Energy Heating or Cooling System
cal for
Does the buyer have a homestead to be vacated Di DI 5.Wind Power Device
for this residence?If yes,provide address: DJ &j 6. Hydroelectric Power Device
Address(number and street) DI 0 7.Geothermal Energy Heating or Cooling Device
City.State,and ZIP Code County
?—c -II-36 _iov - coo , Yg2 -02, - .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete
3 ,47
COMMERCIAL OR INDUSTRIAL PROPERTY
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