Homestead_Peek (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Libby Hinshaw Escrow Assistant
Company
Address(number and street,city,state,country,and ZIP Code)
520 Main Street, Suite 1, Jasper, Indiana 47546
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Kacey L. Schenk
Address(number and street) Address(number and street)
City,state,and ZIP Code City,state,and ZIP Code
.-''t')V tvAce+et— i tiv '/-7tc` T)
Country Country
E-mail address
( )
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.
c„�nat �ex Sell r 1 �� Signature at Seller
Printed Name of S ler Date signed(mm/dd/yyyy) Printed Name of Seller D (mmfddtyyyy)
Kacey L. Schenk 1/24/2022 � �����
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—ID Y
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conC (0 8 UULLLLan2edo yyp�nt
Zachary Peek FEB
Address(number and street) Address(number and street)
46 E 150 S //Lac/x2r f f//�'
City,state,and ZIP Code City,state,and ZIP Code GIBSON COUNTY AuitTOR
Princeton, Indiana 47670 ,
Country Country
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION I YES NO CONDITION
0 0 1.Will this property be the buyer's primary C) 0 3. Homestead
residence? 0 ('] 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 Q S.Wind Power Device
for this residence?If yes,provide address: 0 Q 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 6-12 -le-Sot 000„j 17- o ag '
C 0' py