Homestead_Snyder H. PREPARER
Preparer of the Sales Disclosure Form Title
Jeffrey A.Bosse _ Attorney
Company E-mail address
Address(number and street,city,state,country.and ZIP Code)
501 Main Street,Suite 101,Evansville,IN 47708
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Stephen B.Curtis
Address(number and street) Address(number and street)_.__
1619 Cottonwood Dr.
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country Country
US
E-mail addres , E-mail address Telephone number -M
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.
Signs re of Seller Signature of Seller
1c� !_u l
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Printed me of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Stephen B.Curtis 02/26/2021 02/26/2021
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
Brandie M.Snyder
Address(number and street) Address(number and street)
223 N.West St.,Apt A.
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country Country
US
( )
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 apple
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyers primary i) O 3.Homestead o -n
O residence? 0 4.Solar Energy Heating or Cooling Systz cr
0 02.Does the buyer have a homestead to be vacated O (9 5.Wind Power Device L
for this residence?If yes,provide address: < CrJ
O ® 6.Hydroelectric Power Device i
Address(number and street) 0 0) 7.Geothermal Energy Heating or Coolin ftte"
o
City,state,and ZIP Code County 26-12-06-401-000.521-028 n
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