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Homestead_Wright
i • H:PREPARER' Preparer ofithe Sales Disclosure Form Title Amber D. Pollock Daughter/POA of seller Company Address(number and street,city,state,country,and ZIP Code) 2354 W.Columbia Est. Princeton, IN 47670 ' I.-SELLER(S)/GRANTOR(S),- I Seller 1--Name as it appears on conveyance document Seiler 2-Name as appears on conveyance document j Martin,Clarence J. N/A i Address(number and street) Address(number and street) 1802 Trette'r Park Dr. City,State,and ZIP Code City,State,and ZIP Code 46'1 i Ft.Branch', IN 47648 Country ! Country 1O' , I United States 02 Email Address the best of my-.knowledgearic' • ;i -,correct,•and compleie as' required,by law,and Is prepared:in accordance with IC 6.1.1 5 5" Aperson•.who knowingly andlntenti - s:the,value of transferred.: real property,or omits:or falsifies:.any.-information required;to:be provided,:commits a.Level:5,felony ....N./6"�J. - :• - Sign tore of Seller Signature of Seller /TOR Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller , Date Signed(mm/dd/yyyy) I Clarence J.Martin 06/30/2025 _ I :J ;BUYER(S/GRANTEE S —APPLICATION 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 ! Dayton W.Wright N/A I Address(number and street) Address(number and street) 1802 Tretter Park Dr. City,State,and ZIP Code City,State,and ZIP Code Ft.Branch', IN 47648 I Country Country IUnited States pplyfor_certain.deductions:Identify"all:of.those:that apply. ` ." 1 YES NO CONDITION YES NOWONDITION 1.Will this property be the buyer's primary Erlit 3. Homestead residence? 0 ©"' 4. Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device 1 ❑ P for this residence?if yes,provide address: ❑ 2 6.Hydroelectric Power Device Address(number and street) ❑ Q' 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County 6 I ---18 -\3- 02-0oo,63g-0ff Under penalties.of-perjury,I°hereby:certify;that:this:Sales:Disclosure to the;best of my:knowledseand1t elief,.Is true;correcf;:and*complete' �