Homestead_Rogers (3) ,• 2- 1 on IS Ili ir\ Y ' .1-02S-
H. PREPARER t \ \\k I 2 6 ,
Preparer of the Sales Disclosure Form Title
Daniel A. Moon Attorney
Company
Daniel Moon Law Office, LLC
Address(number and street,city,state,country,and ZIP Code)
111 N Hart Street, Princeton, Gibson County, Indiana 47670
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears do conveyan.- • u '
Estate of Robert B. Crawford
Address(number and street) Address(number and street)
do 360 W. Evergreen Plaza South (Judy Butcher, P.R.) ✓(/� '6,4e)
City,State,and ZIP Code City,State,and ZIP Code
Santa Claus, IN 47579
ces
Country Country 011/
USA CO�Q
ail Address -9''LL__ phone Number
st of my knowledge and belief,is true,corr 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.
Sioa,tufe-of Selter��,- �/ Signature of Seller
‘di
Printed Name Seller �"�x Date igned( m/dd y) Printed Name of Seller Date Signed(rnm/dd/yyyy)
Judy Butcher G2 2- 02-
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 conveyance document
James Harold Bruce Donald Earl Rogers
Address(number and street) Address(number and street)
a(2(15.-li. ah n, 647" 5 A). .7ohn 0 t
City,State,and IP Code 'City,d St Ate,and ZIP Code
. - r4Inel,7-n . cI7� ' r. 4OrIch in . (17 8 •
Couritry Country
USA USA
YES NO CONDITION I YE NO CONDITION l'f‘
1.Will this property be the buyer's primary 3. Homestead \D 2�
residence? 0 C 4. Solar Energy Heating or Cooling System\ \ .1
2. Does the buyer have a homestead to be vacated 0 f 5.Wind Power Device \.0 3) `r'`�
for this residence?If yes,provide address: 0 f 6.Hydroelectric Power Device
Address(number and street) 0 2 7.Geothermal Energy Heating or Cooling Dev'
City,State,and ZIP Code County ,26-_1 y _ ` 'I_,) .— Li of 7 �)O
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