Homestead_Moy1\DIA\pSALE$DISCLOSURE FOR�1 SDFID $DOID 729280
�►a�O�lY:13�:
;had Wesselman
Pnparer o(rhe Sala Disclosvre Farm
' 1 Theater Drive
ldren (NUm ber a�M Sveet)
=vansville, IN 47715
Ciry, Smtq and ZIPCade
Mortgage Coordinator
Title
Evansville Teachers Federal Credit Union
Compony
Tdephone Number E-ma/I
Ycki fay Decker
Seller 1- Name as oppmrs on conveyonce document
606 W Mulberty
Addrar (Nu mber md Stn.el/
Princeton, IN 47670-
Kimberly Kay Hickman
Seller 2-�Yame as appears an ronveyance document
237 Blue Hemn Lane
Address [NUmber ond S�ey
Heath, TX 75032-
Ciry.S[ate, ondl/PCode
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my nowledge and belief, is true, correc[
and o te as required by law, and is prepared in accordance wit Csi-11-S.5, " perty Sales Disclosure Act".
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�mNreofSeller � _ //�/ S namreo/Seller q
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. B YER $` G TEE S- APPLICATION EOR PROPERTY TAX DEDUCTIONS--IDENTIEY A L ITEMS THAT APPIY
Robin Moy
�Buyerl�Kameas mrsomm�veyonredocument Buye�2-Name�appmrsomm�veyanttdacvmmc
Addras (Number and SVttt)
Princeton, IN 47670-
MAY BE USED TO APPLY FOR CERTAIN DEDURIONS
X� � 1. Will this properry be the buyer's primary
residence? Provide tomple[e address of pri ary
residence, including county:
458 W.GLENDALE
Addreis (Number vnd Sbeet) �
Princeton, IN 47670 GIBSON
Ciry, Stau ZfPCode Counry
�� 2. Does the buyer have a homestead in Indiana [o be
vacated for this residence? If yes, provide
complete address of residence being vaca[ed,
including county:
Addrm� (NUmber and Sveet)
Ciry, Smre ZIP Lade Caunry
Addres (NUmber ond Sveet)
Ciry. Smte. ondZlPCoCe
IDENfIFY ALL OF TNOSE TH7q' APPLY.
Qx � 3. Homestead
� Q 4. Solar E eating/Cooling Sys[em
�3. Wind Power Device
❑ Q 6. Hydroelec[ric Power Device
❑ Q 7. Geothermal Energy Hea[ing/Cooling Device
� Q 8. Is [his property a residential ren[al proper[y?
❑ Q 9. Would you like to receive tax statements for this
property via e-mail? (Provide contac[ in%rmotion
below. Please see instrucdons for more in%armation.
Not available in aIl counties.)
a(o -/ c� -O � 30 3 ao �? ,3// o a�
Pnmarv oronem owner conmtt nam¢ E-mail
Under penalUes of perjury, l hereby certify [hat 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, "Real Property Sales Dlsclosure AcY'. (Note:
Spouse informatlon, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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�atureo(B�er] � ^' _ � . I Slgmmreo/BuyeR/Spouse
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so/Social5ecuriryNum6e�
License/!D/O[her Num6er
Pnn[ed Legal Nome of Buyer 1/Spouse
5{qn Date (w.r/DO/vm7
LastSdigiGSO/Buyer2/SpouseDriver's Smte LastSDigiGSOfSociol5ecuriry
Number License/ID/OtherNumber