HomeMy WebLinkAboutHomestead_Woods (15) H. PREPARER
Preparer of the Sales Disclosure Form Title
Katherine Camden
Address (number and street, city, state. country, and ZIP Code)
1492 E. Taftown Road, Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document Seller 2— Name as appears on cony a Id-
ume
Brian Camden Katherine Camden
I)
Address (number and street) Address (number and street)
1492 E. Taftown Road 1492 E. Taftown Road ApR
state, and ZIP Code City, state, and ZIP Code U 1
City, 12Q
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Princeton, IN 47670 Princeton, IN 47670 �y,
Country CountryUS US O/$s1,i(?,'(.,
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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 falsifies the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
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Sig re of Seller Si
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Printed Name of Seller n to si red (mm/dd/yyyy) Printed ame o Seller Date sig ed mm/ddly y)
Brian Camden Katherine Camden ar- )8b)6 .4)-(0
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
Brittany Woods
Address (number and street) Address (number and street)
625 N. Race Street
City, state, and ZIP Code City, state, and ZIP Code
Princeton, IN 47670
Country Country
US
for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary E 3. Homestead
0 0 residence? 0 [] 4. Solar Energy Heating or Cooling System
0 Q 5. Wind Power Device
116, 1
0 2. Does the buyer have a homestead to be vacatedr
0for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device , ''
Address (number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county 2b ' ` L- 01 - f'o( - oo3 , 6 (3 - OzS
Under penalties of perjury, I hereby certify that 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 falsifies the value of
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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