Homestead_Sink H. PREPARER
Preparer of the Sales Disclosure Form Title
Chris Sullivan Closer
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd Ste 201,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Scott W.Heironimus
Address(number and street) Address(number and street)
1251 CarolAvenue
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country usA- Country
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.
Signal/of Seller Signature of Seller
/ .
• n ed'ame of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Scott W.Heironimus 02/02/21 02/02/21
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
Erin A Sink
Address(number and street) Address(number and street)
105 N.Bitter St
City,state,and ZIP Code City,state,and ZIP Code
Owensville,IN 47665
Country USA- Country
.
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 Y NO CONDITION 4Eli
J
0 1.Will this property be the buyer's primary 0 3.Homestead o m
CD
residence? O 4.Solar Energy Heating or Cooling System 0
- o H
O 2.Does the buyer have a homestead to be vacated 0 J 5.Wind Power Device z �' N
for this residence? If yes,provide address: 0 6.Hydroelectric Power Device �
N
Address(number and street) O 7.Geothermal Energy Heating or Cooling AI "
0 .
City,state,and ZIP Code County 26-14-07-400-001.379-006
c)
c