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Homestead_Taylor (15)
H. PREPARER -- Preparer of the Sales Disclosure Form Title Milton Norman Settlement Agent Company Address(number and street,city,stale,country.and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 I. SELLERS)/GRANTOR(S) • Seller 1—Name as itappears on conveyance document Seller 2—Name as appears on conveyance document Travis C.Johnson Address(number and street Address(number and street) • LCo NC) *rA.T .V 5\-c e.. .\— _ City,State,and ZIP Code City,State,and ZIP Code Princeton,IN 47670 Country Country US Email Address ( ) 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 by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsities the value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level S felony. SIgapture of Sellerer Signature of Seller $14.1............._ Printed Name of Seller Date ig d(mmldd/yyyy) Printed Name of Seller ate Signed(mm/dd/yyyy) Travis C.Johnson I a ic, A`1 J.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY/ A Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears tveyanoe do Bruce Taylor cC /, Address(number and street) Address(number-,ae•'-treat) 4/2i 324 S.Race St. S' 7 City,State,and ZIP Code City,State,and ZIP COoraeo , '/ Princeton,IN 47670 ,1 (*)--)\ Country Country, q0©/T . US Email Address 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 131 0 3.Homestead ® 0 residence? , 0 ® 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device for this residence?If yes,provide address: p ® 6.Hydroelectric Power Device Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device City.state.and ZIP coda `au* Q 6 \Z o 1_ k-i o 1 _ o O o• -(6 - 023 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete 3