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Homestead_Gerbig .... .... . ....... ... .... HPREPARER`: ;::: `; ;: ;: : ,:.!::!.7::-:-....:v:., .;;;. .:?::;:?: : ':::;"°: : ::;'''.;.' : Preparer of the Sales Disclosure Form Title Jessica Bajaj Escrow Officer-Business Development Company Address(number and street,city,state,country,and ZIP Code) 409 Main Street,Vincennes,IN 47591 T S 0`E �S .GRAN R R ! ...E �. - Seller 1—Name as it appears on conveyance document Harrison Lee Hunt Seller 2—Name as appears on conveyance m }iris ,Fields Address(number and street) �0 5 i ce /t4L- Address(number and street) s[�n , b Cl state,and ZIP Code ✓ �0�� !�lL�i1 ) �J/ j�j ��� City,state,and ZIP Coded �/sd 1 /TF !�!/ / !� Country Country SO United States of America United States of America 'Cp Gc' , , .:ei?Y...... is .. . i . offect:and'°`complete;as? . .... .....:.: Udder pena,ities af;perjury„1_hereby.cerllfy.thts Sales:,T3t�olosure,.toaie:best:of:`my kriowledge::and,,belief,;:[s triie,:c. p . required by law and is-prepared In accordance with lC 6 1 1 5 5 A person who knowingly and intentionally falsifies the_•Value_:of transferred? rifted:to':be�rovided •co m real property,;:or..otpits°or faislfles`any ihforrrtatlon,r..eq p. ,... mtntts,'a'Lev05.#etor?y;;<•:::::;;r ::.: :,, >::: :..:_...'.. ?lure of Sell Signature of Seller ru• ,, Ij1'Ld Name of Seiler Date sig ed mmldd/yyyy) Printed Name of Seller Date signed(mmlddIyyyy) Harrison Lea Hunt 0 Cf /i 2 C Z'I Kristen E.Fields :-J,BUYER(S)/GRANTEE(S) APPLICATION.:FOR°PROPERTY TAX DEDUCTIONS.: .IDENTIFY ALL THATAPPEY.::. Buyer I—Name es it appears on conveyance document Buyer 2—Name as appears on conveyance document Kelly A.Gerbig _„• Address(number and street) Address(number and street) 1134 S. Race Street City,state,and ZIP Code City,state,and ZIP Code Princeton,IN 47670 Country Country United States of America United States of America :frig:ceitain=deductions.ridentify.;311`of: e:hat:apptyr::::::"]i;—:'.' YES NO CONDITION YES NO CONDITION 0 3.Homestead L ❑ 1.Will this property be the buyer's primary residence? 0 4,Solar Energy Heating or Cooling System ❑ ri,/ 2.Does the buyer have a homestead to be vacated for 0 El 5.Wind Power Device this residence?If yes,provide address: CI © 6.Hydroelectric Power Device Address(number and street) ❑ ® 7. Geothermal Energy Heating or Cooling Device City,state,end ZIP Code County - /�(�,- lQ J 1^�L_`q — q —0 0 C) tto3 _02—E- ,.__... .. .._=.:.y;.;,,--•d'�:..;5;::.�:,..::_:.:�.r:•,:•.•��:.�..: ��^;,::::• .:.fF::;:::.o.......,:i•;v.v..:,r::;.._:,;,:iii":::�.;.:.;:.•':::%:i;;`:`E:I it G::,E;�=,:.: r..,.. refs ..cent :that:this..Sales;Disclosuretf)0:best;9fr.*knowledge.end:;belief';is:,ttv9:SP,Rect;APO:.com le#e '..:Wnder penattias of. er u, I:.he....Y........fY.... ,. . . ... ::: :..... ! �. ..:-._ :..... p . , ''S'd s:rep e ,:a'.' i.'rc ::.... .,: ii - ` ' t `ersonrwh .kno in l :j•'and::Inter tiortally„•'falsifies•the yalueof, .::,•as';requfredsaay.law,ancits:prepared In accordance with.ICB .,1r5. �;:..:_.P:. o,• .. '!t! 9Y . •. efred:real: . e� '.or. omits.;or;;falsifies:any;;Information required.to be.'provided,.commits:a-Level;5:felony:`(Note :Both spoclse s:. .. :-. :anformatfbn;:SSNl17r1ver'sa:icetrse/JDLQfherNumberls,necessarKlfa:;Homestead.?Deductfanls;bein flletl ....... .. . f.„...t,c l _3' rVZ4) Fiy •