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Homestead_Bruce (5)
H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company E-mail address Telephone number Southwestern Indiana Land Title matt@swinland.com (812) 425-0055 Address (number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 — Name as it appears on conveyance document Rick D. Bruce Mary E. Bruce Address (number and street) Address (number and street) 623 N Short Street 623 N Short Street City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America 'Elail Address Telephone Numb Email Address Telephone Number Unde 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. n ture f S e1p r g ature of S er. �)-- Pnnt Name of Sal r Date Signed (mm/dd/ Print d Name f Seller Date Signed (mmldd/yyyy) Rick D. Bruce yyyy) Mary E. Bruce 18/10/2026 8/10/2026 J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPL Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears on co yanc cument Aeri-el E. Hamer Address (number and street) Address (number a " street) G' I3 623 N Short Street City, State and ZIP Code NV City, State and ZIP 6' Princeton, IN 47670 Country Country Tye United States of America �p Email Address *Telephone Number Email Address •Q Telephone Number � --�i -i'Zs Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION 10 ❑ 1. Will this property be the buyer's primary residence? 10 ❑ 3. Homestead ❑ 0 4. Solar Energy Heating or Cooling System ❑ 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: ❑ Q 5. Wind Power Device ❑ © 6. Hydroelectric Power Device Address (number and street) ❑ Q 7. Geothermal Energy Heating or Cooling Device �t _1S; - 104-OQ01 -LQ0'11S>_O0__7 City, State, and ZIP Code County 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 transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouses information, SSN/Driver's LicensellD/Other Number is necessary if a Homestead Deduction is being filed.) ignatur of Buyeu 1 Signature of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DDNY) -*** Aeriel E. Ham 10/2026 IjLast 5 Diqits of Buver 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number SN: Dl:• tii T-g3oo Page 3 INDIANA SALES DISCLOSURE FORbt SDF ID: _ D.PREPARER � ' ac c.� �v.Le� Premrero'� SalaDisdosureForm a E � �dras�VUmberand Vee[J � � O City. 5[ate, and ZIPCOCe E. SELLER(S)/GRr1NTOR(S): : ... : ... , ':;:.�'.. `..' '•; _ , c� _ 1 - Name as � �r _-., _ . E-mail �: " .:. , �. . ' =NOme q-����s(h'umberond5treeQ l`f� � �nLe��f „ � �c1 �� � c�ry smre a�avvcode ���� Under penalties of perjury, I hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct �c mple as required by law, and is prepared in accordance wit IC 64.1-5.5, " eal Property Sales Disdosure Act". ,�;� � �._.� ,I� ��. ��t�� ~i9mt reoJSe� r � , 5(qna�i er o(Se ' _ � � y � r /!li TION�F�QRPROPERTY TAX-DEDUCTIONS— 1 Addras (Number and 5[reet) �. THE 5ALE5 DISCLOSURE FORN NA}' gE USHD TO dPPLY FOR CERTAI\ DEDUCI'IONS FOR .�J ❑ 1. lNill this property be the b�yer's primary residence? Provide complete address of pri� ry �,a� � esi ence, insluding county: iECress(A'umberond treerl - � ^��� � / i��S.�e �,��lw J.l\ ��Ci U�' \��l Ciry,SmteZlPCOde r Counry � i�l 2. Does the buyer have a homes[ead in Indiana to be vacated for this residence? Ifyes, provide complete address of residence being vaca[ed, including county: dddress (Nmnbe� and Sheet) � Ciry, Sm¢ ZIPCaCe Counry Buyer? - Name as appears m mnveyunre dooument Addrn's (A'umber and 5[ree[) Ciry, Smte, and ZIPCode I OEYTIFY ALL O�TtW�E THdT APPLI". �I ❑ 3. Homestead � ol�rJ� 7� ❑ I� 4. Solar Energy He � g/Cooling Sys[em ' ower Device a� 6. Hydroelectric Po�ver Device ❑ � 7. Geothermal Energy Hea[ine/Cooling Device ❑ � 8/ Is this property a residential rental prope�ty? ❑ I,� //`Q�Would you like [o receive [ax statements for this d„U property via e-mail? (Provide contact informotion �� 6elow.Pleaseseeins�rucCions�ormorein�ormation. �� Not available in all counties.) o1G-/:Lio�./o��o. Go5-aa � Under penalties o( perjury, 1 hereby certify [hat this Sales Disclosure, to [he bes[ of my knowledge and belie(, is true, correc[ and complete as required by law, and is prepared in accordance wi[h IC 64.1-5.5, "Real Proper[y Sales Disclosure Act". (Note: Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is bei��g filed.) � Sign Da[e �wM/o�/rvYl') Sgnamreo(Buyer2/Spouse PnntedLegalNameo(Buyrer2/Spouse S�gnDare(xH/OD/YYYY� Las[>digiuo(Buver7Driver's Smte LastSDigicsoj5ocialSecunryNum6er I LastSdigiGSOjBuyer2/SpouseDriver's Swte Last50igiaa/SocialSecunty License/ID/OtherM1'um6er Num6er License/lD/OtheM'umbe�