Homestead_Sheridan (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Nichole A. Judge Secretary
Company
Address(number and street,city,state,country,and ZIP Code)
120 South Main Street Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Tiffani Joann Sheridan
Address(number and street) Address(number and street)
936 E. Gillespie St.
City,State,and ZIP Code City,State,and ZIP Code
Bridgeport, Illinois 62417
Country Country
USA
Email Address
best of my knowledge and belief,is true,correct,and complete as
required by law,and is prepared in accordance with ICi6-1.1-5.5.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.
Sig ure .f Seller Signature of Seller
C\rtil
ted /�• of Sell Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Tiffani warm She ' n a-- q - w
J. BUYERS)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI •LL ' •- •PPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appearsrppconveyan - •• - -
Matthew Sheridan V( Q
Address(number and street) Address(number .41,. .treet) ,(21�,
101 N. Scott Street Os
City,State,and ZIP Code City,State,and ZIP o ;r{
Owensville, IN 47665 cnliQ e-
Country Country -10,0 ..
USA
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 O 0 3. Homestead
2 0 residence? 0 0 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 lB 5.Wind Power Device
0 for this residence? If yes, provide address: 0 lB 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County U • 5 L .
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