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Homestead_Neber � H. PRERARER Pnaparnrnf the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company Address (number and otreet, city, atote, country, and ZIP code) OD5GE Martin Luther King JrBoulevard, Evansville |N United States ofAmerica 47713 i SELLER(S)A3RANTOR(8) Seller 1 -Name aoit appears on conveyance document Seller 2-Name aoit appears on conveyance document JenniL. Nebor Address(number and street) Address (number and street) 421 N Spring St. . ' City, State and ZIP Code City, State and ZIP Code � Princeton, IN 47070 Country Country ' United States ofAmerica * Email Address of my knowledge and belief, is true, correct,and complete as required by law,and is prepared in accordance with |Co-11'ea.A person who knowingly and intentionally falsifies the value oytransferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. nature of,Seller Signature of Seller FVinted Name of Seller Date Signed (mm/ud/ Printed Name of Seller Date Signed (mrn/du/vyvv) JonhiLNober YYYY) T/1O/2O24 J. BUYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1 -Name aait appears on conveyance document Buyer 2-Name oni1 appears on conveyance document Nicholas D. Neber FILED Addronx(numbnrando1raoV Addreax (numboronda\reeV 421 N Spring St City, State and ZIP Code City, State and ZIP Code JUL �0�� Princeton, IN 47870 . ~ ~ ^"^' -~~l_-~ Country Country United States ofAmorica G|oaow cnuw Emoi|4ddreoo used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION B O 1. Will this property be the buyer's primary residence? SO O 3. Homestead El [� 4� Solar Energy Heating or Cooling System O G] 2. Does the buyer have a homestead to be vacated for O 2 5� Wind Power Device this residence? |f yes, provide address: O E5 G. Hydroelectric Power Device Address (number and street) [] 121 7. Geothermal Energy Heating or Cooling Device City, State, and Code '�ounty' ' ) 6 ,// ID 6 -/����. /� ���_<��� 5' \ & Under penalties nfpe�ury. |hereby ce�i/ythat this Sales Disclosure,tv the best vfmyxnovv|odgv and uo|inCin true,concct'and :nnnp|gt�__~� as required by |aw,and is prepared in accordance with |C G'1.1'6.5.A person who knowingly and intentionally falsifies the value o, transferred real property, or omits or falsifies any information required to be provided, commits a Level s felony. (Note:Both spouse's Last 5 Digits of Buyer 2/Spouoe8GN/Driver'sLicenoe/|D/0therNumber • • � �... ''