Homestead_Harmon (3) H. PREPARER
Preparer of the Sales Disclosure Form F Title
] Claire Kincaid I Settlement Agent
Company , - �
Address(number and street,city,state,country, end ZIP Code)
4799 Rosebud Lane,Newburgh.IN 47630
I SELLER{SYGRANTOR{S}
t�t Seiler 1-Name as it appears on conveyance document . Seller 2-Name as appears on conveyance document
James Shelby I Jennifer Shelby
Address(number and street) i Address(number and street)
2304 E.Taylor Ave. I 2304 E.Taylor Ave.
City.state,and ZIP Code I City.state.and ZIP Code
Princeton.IN 47670 Princeton, IN 47670
Country 1 Country
US k uS
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,,bby 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 prollerty.or omits or falsifies any information required to be provid,. • mits a Level 5 felony.
7atuWSeller t ofSelle
of
!Name of Sell Date signed(mmtddlyyyy) I Printed ame of SSetter Date signed(mrniddlyyyy)
Jam s helby 02/11/2022 I' Jennifer Shelby 02/11/2022
J. R( EE(S)--APPLICATION FOR PROPERTY TAX DEDUCTIONS-lDENT1°6ry�j�+ i T er
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on ]J[k U
Andrew M.Harmon Alecia Harmon
Address(number and street) Address(number and street) FEB 1 4 2022
F 2304 E.Taylor Ave. 2304 E.Taylor Ave.
City,state.and ZIP Code ? City.state,and ZIP Code
Princeton,IN 47670 Princeton,IN 47670 4/22c+^-/tet2, e2,.. 27`t. n4)
Country Country GIBSON COUNT Y AUDITOR
• r" US US
C812)677-6671
t• 'J Pursuant to IC 6-1.1-12-44.the Sales Disclosure Formmay be used to apply for certain deductions.Identify all of those that apply:
k-71
YES NO CONDITION YES NO CONDITION
,CS •pg ,--, 1.Will this property be the buyer's primary �X 0 3.Homestead
-...- 0
1"" residence? C..) 34_Solar Energy Heating or Cooling System
—F— y�� 2.Does the buyer have a homestead to be vacated d C!� 5.Wind Power Device
� cst
C for this residence?If yes,provide address: a ® 6.Hydroelectric Power Device
Address(number and street) E 0 3 7.Geothermal Energy Heating or Cooling Device
'T- 506 Roosevelt Ave
City.state.ZIP code,and county—'2- O�!
v Princeton,IN 47670 204 --cot . 10--t 'oas
—& 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 64,1 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,conarnits a Levet 5 felony.(Note:Both spouse's
„1 information,SSN/Orfver's LicenseJ4WOther Number is necessary if a Homestead Deduction is being fried.)
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