Homestead_Simpson (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
KYLE R. WALTON
Company E-mail address
Address(number and street,city,state, country,and ZIP Code)
1112 PINE MEADOW DRIVE SALEM, INDIANA 47167-7349
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
SABRE INVESTMENTS LLC
Address(number and steet) Address(number and st e iT
P.O. BOX 3074
City,state,and ZIP Code City,state,and ZIP Code ��••••// i� 7
CARBONDALE, ILLINOIS 62902
Country Country ��u ��
USA 2024
E-mail address
best of my knowledge and beliet0�rrect and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fal ides the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. _
Signature of Seller > Signature of Seller
Printed Name of Seller Date si a mm/d ) Print Name of Seller Date signed(mm/dd/yyyy)
Kenneth Rochman, Managing Member 0- �z��
J. BUYER(S)/GRANTEE(S)-APPLI ION R PROPE TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
NATHAN SIMPSON LORETTA SIMPSON
Address(number and street) Address(number and street)
538 W. GLENDALE ST. 538 W. GLENDALE ST.
City,state,and ZIP Code City,state,and ZIP Code
PRINCETON, INDIANA 47670 PRINCETO INDIANA 47670
Country Country
US US rs
E-mail address
( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be use o pl r in deductions.Identify all of those that apply:
YES NO CONDITION dc,(1\ NO CONDITION
O 1.Will this property be the buyer's primaryi O 0 3. Homestead
residence? itiN„.44}\.
0 f 4.Solar Energy Heating or Cooling System
® 2. Does the buyer have a homest: •d t.``se` cated D O 5.Wind Power Device
for this residence?If yes, pro a yres-r:, O 1 6. Hydroelectric Power Device
Address(number and street) 0 p 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
30 ‘-- otD t. Ltoa-.QD'
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
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