HomeMy WebLinkAboutHomestead_Bruce H. PREPARER
Preparer of the Sales Disclosure Form Title
Daniel A. Moon Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
111 N Hart Street, Princeton, Gibson County, Indiana 47670
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears an conveyan If
Estate of Robert B. Crawford `(/
Address(number and street) Address(number and street)
do 360 W. Evergreen Plaza South (Judy Butcher, P.R.) -/q '.6../)
City,State,and ZIP Code City, State,and ZIP Code /
Santa Claus, IN 47579 I
Country Country C/Q30i •
, <0
USA CO (C. ,
best of my knowledge and belief,is true,corn' Q 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.
Si ng.,,�of Seller �—/ Signature of Seller
f—di
Printed Name f Seller ! v*�� Date igned("gym/ddhyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Judy Butcher G2/?_ '/2J(
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
James Harold Bruce Donald Earl Rogers
Address(number and street) Address(number and street)
gcls_hi. aabh n. 6-6. Ret5 7Mhn r5City,State,and IP Code ity. State,and ZIP Code
=�1 rrjr A . ci7� re. c'A o ,in . ii76.v8
Country Country
USA USA
YES NO CONDITION ' NO CONDITION
O 1.Will this property be the buyer's primary 0 3. Homestead
residence? O Op 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 1 5.Wind Power Device
for this residence?If yes, provide address: O OQ 6. Hydroelectric Power Device
Address(number and street) 0 Op 7. Geothermal Energy Heating or Cooling Device
City, State,and ZIP Code County 26—` I 1 ...... Li
OZ— o o I ?, , -0 Z
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete
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