Homestead_Malcolm H. PREPARER —
Preparer of the Sales Disclosure Form Title
_Colleen Dunn Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
2801 N 6th Street,Suite E,Vincennes,IN 47591
I. SELLER(S)IGRANTOR(S)
Seller 1 —Name as It appears on conveyance document Seller 2—Name as appears on conveyance document
Mark A.Robb Leeana Robb
Address(number and street) Address(number and street)
226 E Oak Street 226 E Oak Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670 Princeton,IN 47670
Country Country
US US
Email Address
Under penalties of perjury,I hereby certify 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.
Signature of Selle Sig ture of Seller
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Printed Name of Seller Date/Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mmlddlyyyy)
Mark A.Robb 07/16/2024 Leeana Robb 07/16/2024
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 con nce document
Donald Malcolm
Address(number and street) Address(number and street)
329 Siuth 5th Avenue 18 iftb...1
City,State,and ZIP Code City,State,and ZIP Code ✓j,/
Princeton,IN 47670 • _ Uc 2
Country Country G 10?y
US
Email Address
for certain deductions.Identify all t apply:
YES NO CONDITION E V CONDITION R
1.Will this property be the buyer's primary 3. Homestead
® O residence? ® 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
O ® for this residence?If yes,provide address: O al 6.Hydroelectric Power Device
Address(number and street) O ® 7.Geothermal Energy Heating or Cooling Device
City,State.and ZIP Code County !� 1 2___0 ^ .0 i _OQ O `3 sti_ 0
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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