Homestead_Loeb H. PREPARER
Preparer of the Sales Disclosure Form • Title
Micah Scott Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd. 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
Terry W. Honeycutt /� Tina M. Honeycutt
Address(numb rand strget) /1 iv, , J'1 1I A re s n mbar d street—)
City,/s f)tSli�apd IP Code / ) —L1LI .1 1/7 7 p City,st tc d ZIP ode
v V J �-- - E5d ��h��r--/IN 47648
Country us I Country US
E-mall ad egs
Under penalties of perjury,I hereby certify this Safes Disclosure,to the best o m 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.
Signature of Seller Sign lure of Seller �/
>7� LL . /,.S) u b( //��itt�� 7L /i F t � -- S w i' Date signed(mm/dd/yyyy)
Printed N e of Seller Date signed(mm/dd/yyyy)
Michelle Linson, Attorney-in-Fact 03/28/2022 Tina M. Honeycutt 03/28/2022
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
TimothAddress(number
FILED
Address(number and street) Address(number and street)
1134 South Stormont Street Apt 1
City,state,and ZIP Code City,state,and ZIP Code MAR 3 0 2022
Princeton IN 47670
Country •
Country
US 12,-,loll
E-mail address t j Telephone number E-mail address GIBSON COr. ,...„....,
TAiPtAtdiiDfiEi r
/i 9 / . (eta) 240.1449 )
Pursuant to IC 6-t.1 2.44,the Sates Disclosure Form may be used to apply for certain deductions.Identify aft of those that apply:
YES NO CONDITION YES NO CONDITION
1.Wilt this property be the buyer's primary 0 3. Homestead
O re dence? • O O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 6- .2 _ 01- to 1 - 00 Z _ $„$--s -o 2 -
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
he value of
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