Homestead_Fink H. PREPARER
Preparer of the Sales Disclosure Form Title -
Kandace Rogers Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I.SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on co ance document
Harold Stone, LLC 14.40,\
Address(number and street) Address(number and street)
5729 Chuckwagon Road
City,Stale,and ZIP Code City,State.and ZIP Code
Nampa, ID 83686
Country Country
USA ?Q2
eS Telephone Number
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and bet c rrect and complete as
required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentlona yet) h value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony." a /Tn�
Signat 1 seller �-` f�•' Signature of Seller
il 2 _
PrinteOrame of Seller l/ Dale Sipped( mldd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
%/l/7 +
Harold J.Stone,Managing Member it
J. BUYER(S)/GRANTEE(S)-APPLICA'11ION 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
Tylor Fink
Address(number and street) Address(number and street)
4019 West Split Rail Lane
City,State,and ZIP Code City,State,and ZIP Code -
Princeton, IN 47670
Country Country
USA
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 I ❑X ❑ 3. Homestead
❑ residence? I ❑ Q 4,Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ❑ ❑X 5.Wind Power Device
k 51 for this residence?If yes,provide address: 6.Hydroelectric Power Device
Address(number and street) ❑ 0 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 2/ _ i —
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