Homestead_Seib (4)INDIANA 3ALES DISCLOSURE FORM SDF ID SDO ID 1389427 Page 2
i�. PREP9RER
Peggy A. Ralston Title Assistant
Preparer nf the Safes Disclosure Form Title (!
3101 N. Green River Road Suite 130 Trustworthy Land Title Co., Inc.
Address (Number and Street) Com pany
Evansville, IN 47715-
City; State, and Z1PCode Telephone Number F.-mail
E. SELLER S GRANTflR S
Justin M. Hyneman
Seller 1- Name us nppears an conveyance document Se17er 2- Nume ns «�pears on convevmice document
319 E. State Street
Address (Number ar��/ S6�eet) Address (tiumber crnd Street)
Princeton, IN 47670-
Ciry•, State, and ZlP Code Ci .ty, State, nnd Z!P Code
G-mail Tete hnneA'tan6er G-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and c plete as required b law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
n tureojSe(ler SignnareofSeller
rt -a�la
,
F. BUYER S' GRANTEE S- APPLiGATION FOR PROPERTY TAX DEDUCTIONS- IDENTI FY ALL ITEMS THAT APPLY
Larry R. Seib Saundra K. Seib
Buyer 1- Npme us appears on conveyance document Suyer 2- Name as nppears on conveynnce document
319 East State Street 319 East State Street
Address (Number and Street) Address (Number and Street)
Princeton, IN 47670- Princeton, IN 47670-
City, State, and ZIP Code Ci .ry, State, and ZIP Code
E-mail T'ele honeNumber• E-mai!
THE SALES DlSCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTtONS FOR THIS PROPERTY. IDENTtFY ALL OF THOSE THAT APPLY.
YES NO CONDIT(ON CONDITION
XQ � 1. Will this property be the buyer's primary QX � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county: � �
923 S. GIBSON STREET 5. Wind Power Device
A�Idress(NumberandStreet) � � 6. Hydroelectric Power Device
Princeton, IN 47670 GIBSON � Q �, Geothermal Energy Heating/Cooling Device
Cig; S[nte ZIP Code County
X� � 2. Does the buyer have a homestead in Indiana to be ❑ � 8• Is this property a residential rental property?
vacated for this residence? [f yes, provide ❑ � 4• Virould you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact information
including county: below. Please see instructions for more information.
319 EAST STATE STREET Not available in all connties.)
Address (NumLer and Street)
Princeton, IN 47670 GIBSON � —' a— � —a � % —�� � , 'nf 6 � ��C
Ciry, Stnte ZIP Code Cmmty
Primary propr.rty ownr r r.rmtur.t name G-mail
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, "Real Property Sales Disciosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bei g file — ����� � ���P
Signntur jBuyeri � , � Signaarre o�8uyerZ/Spouse
�� ��- a �. - � � �
of Socia) Security
License/ID/OtherNumber Number Lice��se/In/OtherNumber