Homestead_Voyles (2) H. PREPARER
1 Preparer of the Sales Disclosure Form ) il 1 _ _ Title -----' I
>le
Ne .... _ _ ____.__/
Company
Address(number and street.city.state.country.and ZIP Code)
, 7820 Eagle Crest Blvd,Suite 201,Evansville.IN 47715
I I. SELLER(S)/GRANTOR(S)
1 Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
1 Kelly Lynn Purvis
t Address(number and street) Address(number and street) 0
CB )1.111
I 406 W Emerson Street --1-1
I City,slate.and ZIP Code City,state.and ZIP Code = rn )10•111
0, co
I
Princeton,IN 47670 0
— .
; Country Country
I US -4•
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, ..
j Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is tru rrect and coi as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally faIsift5 the value of transferred
1_
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
SignVmf Seller ......" --n Signature of Seller
d! -, CPIV iptin 1-6 ,i Printed Name of leiter Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(min/cid/my)
Kelly Lynn Purvis 02/14/2022 02/14/2022
—
J. BuvER(s)IGRANTEE(s)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
--1
i Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
; Mark Voyles Phyllis Anne Voyles
I Address(number and street) Address(number and street)
I 328 W Emerson St 328 W Emerson St
I City,state.and ZIP Code City,state.and ZIP Code
.±.1 Princeton,IN 47670 Princeton,IN 47670
. — .
--1 Coun -
try Country
CZ:> US US
t •
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( )
-I Pursuant to IC 64.1-12,44.the Sales Disclosure Form may be used to apply for certain deductions_Identify all of those that apply:
8 i YES NO CONDITION YES NO CONDITION
CY 1 )4
o 1,Will this property be the buyer's primary 0 3. Homestead
01 residence? 4,Solar Energy Heating or Cooling System
Q
p 0,_, 2.Does the buyer have a homestead to be vacated 5.Wind Power Device
l LJ
r'll far this residence?If yes,provide address:
— 0 t 6.Hydroelectric Power Device
c\i Address(number and street) 0 7.Geothermal Energy Heating or Cooling Device
/ J-/ 7f2--,/- ‘, -S"---
(,,,,r) City,state,ZIP code,and county
, ..„.2.7,. Lit 7 6 6_k., D(t-12. -oi -oni 58 -0 2-23 •
4 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
4,0 as required by law,and is prepared in accordance with IC 6-1.1.5.5.A parson who knowingly and intentionally falsifies the value of
(Ni transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
Information,SSN/Driver's License/ID/Other Number is necessary If a Homestead Deduction is being filed.)
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