Homestead_Bechtel B. PREPARER
Preparern[the Sales Disclosure Form Title
Leah Brown oemo"nent4qoru
Company
Address(number and street,city,state,country,and ZIP Code)
7auuEog|w�resto|vd.auiuo�o�.�vono�U*. |m4rr1s
- - ' _
X. SELLEe/S\/GRANTOR/Sl
Seller 1-Name auit appears on conveyance document ooU*ro-Momouoappoars on 1,5751n
A-d4D
Ronald o.Burns Sandra K.Burns '
Address(number and street) Address(number and street) 0 Q �U�&
27o1vv Jill ohvu 27s1vy Jill Drive
OCT' ' - ~ �v�r
City,State,and ZIP Code City,State,and ZIP Code
Princeton,|N4707o Princeton.|N47O7./
Country Country Q/B80NC0 ~~ ,~
A—~''"�
us us
'
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 uv 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 ,o n
�
er
�! �o /
' pnn�d Name nfs000r Do�SiU�nd( dd/yyyy) Prinied �oufSn||wr / Dam8ig y>
Ronald o.Burns nm�0uno4 oon�,a�.�umo o��0cuc4
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAx DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name anit appears nn conveyance document Buyora-womwasitappeosnnconveyoncouovumant
Miphae|C.Bechtel Breanna J.Bachm|
Address(number and street) Address(number and street)
1427n100xv 1427a100vv
City,State,and ZIP Code City. State,and ZIP Code
Princeton,|w47sro Princeton. |m4rs7u
Country Country
YES NO como\T|oN YES NO como}T|oN '
1 Will property the primary 00 [] 3. Homestead
� � . �
residence?
[] 00 4. So[ar Energy Heating or Cooling System
—� ,Doen the buyer have o homestead to be vacated [] DU 5.Wind Power Device
for
^ hzrthin residence? If yes,provide address: [] C9 6. Hydroelectric Power Device
Address(number and street) [] C@ 7. Geothermal Energy Heating nr Cooling Device '
City,State,and ZIP Code County � K ~�� _ � -10 o oU ^ 6 10_ID2.9
unuerpenaxiesvrperjun/.|he,cuvcwmfvt»atxhismo(usoisapvuvo.to the best p,n"v knowledge and belief,is true,correct,and connp|
av required uv law,and is prepared in accordance with|o A person who knowingly and intentionally falsifies the value p,
/
Page 3