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Homestead_Bockhold (2)
H. PREPARER Preparer of the Sales Disclosure Form Title Daphne Kramer Paralegal Company Address(number and street,city,state,country,and ZIP Code) 226 W Broadway St., Princeton, IN 47670 I. SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on co-n ocument Patricia Vanoven Address(number and street) Address(number and street) 916 S Hall St City,state,and ZIP Code City,state,and ZIP Code 4(Jp Princeton, IN 47670 (7 02 7 Country Country 2024 USA USA Gie E-mail address OC/"w Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is d complete as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly end Intentionally falsifies t $value of transferred real property,or omits or falsities any information required to be provided,commits a Level 5 felony. Sig al a of Seller r C Signature of Seller 0,77.2')-P�-- Printed Name of Salter Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Patricia Vanoven 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 Jason Bockhold Address(number and street) Address(number end street) 4901 N 200 W City,state,and ZIP Code City,state,and ZIP Code Patoka, IN 47666 Country Country USA E-mail address ( ) Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary O 0 3.Homestead CI 0 residence? 0 lJ 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 C■J 5.Wind Power Device for this residence? If yes,provide address: 0 W 6.Hydroelectric Power Device Address(number and street) 0 Q 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county 26-1 Z- O1 201 -co©l , l l b --Ozs. 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 6-1.1-6.5.A person who knowingly and Intentionally falsifies the value of COP")