Homestead_Phan 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 conveyance document
Kenneth J. Wonder
Address(number and street) Address(number and street)
1304 Broadway
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
USA USA
E-mail address
( )
Under penalties of perjury,I hereby certify • • ales Disclosure,to the best of my knowledge and belief,Is true,correct and complete as
required by law,and is prepared in acc• a ance Ith IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies the value of transferred
real property or mits or falsifies an nformat'•n required to be provided,commits a Level 5 felony.
Signature o er Signature of Seller
n
Printed dIler 4. Da - ' --d(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Kenneth J. Wonder Oq//212 0 2 y P1-Ai
J. BUYER S /GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIF i: • 'a`�,,
Buyer 1-Name
Phan `SE '.
()as it appears on conveyance document Buyer 2—Name as it appears on conveyance 'G-. ,.
Nga P12 —
Address(number and street) Address(number and et) <U2l
326 W 3rd Street J
c/
Mt. Carmel ICity,state,and L162863 City,state,and ZIP Co�250N O / y
Country Country Up/TOR
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
O O 1.Will this property be the buyer's primary O O 3. Homestead
residence? O Q 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence?If yes,provide address: O O 6. Hydroelectric Power Device
Address(number and street) O O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
cQ— (1--1a-ao-2>--cz -LfLtv- 0DP
P 64