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Homestead_Trowbridge (2) H. PREPARER Preparer of the Sales Disclosure Form Tale 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 conveyance document Darren McClellan Address(number and street) Address(number and street) 7099 W SR 68 City,state,and ZIP Code City,state,and ZIP Code Elberfeld, IN 47613 Country Country USA USA E-mail 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. Si); Sal ep��A // /f Signature of Seller Prin a ame o Seller ,.�- -� Date signed(mm/dd/yyyy) Printed Name of Seller signed(mm/dd/yyyy) Darren McClellan 8-`)-24(' J. BUYER(S)IGRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTION NTIF Y4L HAT Buyer I-Name es it appears on conveyance document Buyer 2-Name as it ap O conveyan �focumenh( ) ' Kathy Trowbridge I, �p Address(number and street) Address(number and street) �OG<z? �� 107 E Warrick St 4/).: . ' m . City,stale,end ZIP Code City,state,and ZIP Code 9G owensvllle, IN 47665 %o Country Country IP USA E-mail address ( ) Pursuant to 1C 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 O O 1.Will this property be the buyer's primary 0 0 3. Homestead residence? 0 O 4,Solar Energy Heating or Cooling System 0 O 2. Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device for this residence? If yes,provide address: 0 p 6.Hydroelectric Power Device Address(number and street) 0 Q 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county - 0- (7- - —QCILt- c0©, 4 l-0=. . \J� spd crye.-, �'