Homestead_Stephens f H. PREPARER
Preparer of the Sales Disclosure Form Title _
Wanda Cullins Settlement Processor
Company
Address(number and street,city,state,country,and ZIP Coda) -----
1700 Rockville Pike Suite 440 Rockville MD 20852
I.SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on veya d ment
Fannie Mae aka Federal National Mortgage
Address(number and street) Address(number and street)
5600 Granite Parkway 6
_ t
City,Slate,and ZIP Code City,Stale,and ZI Code ��i
. Plano TX 75024 G6' _
' Country Country sO (Q�c
USA ✓✓
Email Address Telephone Number Email Address �Cb(,C2 Telephone Number
(31 ) 31 S- 1c "�i-` ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the bast of my knowledge and belief,(Sr 'orrect,and complete as
required by law,and is prepared in accordance with IC 6-1.1.5.5.A person who knowingly and intentionally he value of transferred
real property,or omits a falsifies any Infer alien required to be provided,commits a Level 5 felony.
(� Signature of Seller
Signature of Seller "�js '��-..l'aCl g
l
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears an conveyance document Buyer 2-Name as It appears on conveyance document
Taylor Stephens
Address(number and street) Address(number and street)
City,State,and ZIP Code City,State,and ZIP Code '
0 14. Giir.d C'�``(-t., > >J3 41(cl[ct(�
Country Country
USpi-
Email 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
® 1.Will this property be the buyer's primary El0 3.Homestead
residence? 0 I 4.Solar Energy Heating or Cooling System
0. O 2.Does the buyer have a homestead to be vacated 0 qiC 5.Wind Power Device
for this residence?If yes,provide address: 0 ctil 6.Hydroelectric Power Device
Address number and str fit) 0 V 7.Geothermal Energy Heating or Cooling Device
arty,Stale and ZIP Code Cm 26 _ 1 (--l iQ L`Q 3- Q o i 011,q_QD 1-- .
Under penalties of perjury,t�h re eby certify that this Sales Disclosure,to the est 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 falsifies the value of
transferred real property,or-omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's
Information,SS N ri ees License/!0/Other Number is,necessary only if a Homestead Deduction Is beingfifed.)