HomeMy WebLinkAboutHomestead_Skeen II H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Janice F. Royal
Address (number and street) Address(number and street)
915 Mill St
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail address mail addresslephone number
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.
�n e of Seller nature of Seller
tL� . .$ig(�
Printe Name of Seller �� Date signed (mm/dd/yyyy) Printed Name of Seller ` Date signed (mm/dd/yyyy)
Janice F. Royal Q Li -Z$- Zoz-Z-
J. BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Bu e -Na as it appears on conveyance document Buyer 2-Name as it appears on ccefn do �D
Matthew W. Skeen II Catelyn Crawford-Skeen 1 L
Address(number and street) Address(number and street)
405 W. First St. 405 W. First St. MAY 4 2022
City, State and ZIP Code City, State and ZIP Code
Patoka, IN 47666 Patoka, IN 47666 6.4.wl a .d'k:,1_,:na)
Country Country GIBSON COUNTY AUDITOR
United States of America United States of America
E-mail address
YES NO CONDITION YES O_CO ON
21 ❑ 1. Will this property be the buyer's primary residence? ❑ 3. Homestead
0 0 4. Solar Energy Heating or Cooling System
0 0 2. Does the buyer have a homestead to be vacated for 0 p 5. Wind Power Device
this residence? If yes, provide address: 0 El 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code,and county
p -//- /ci - Aoye - oo-2.C:2 B -GJ-S
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 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. (Note:Both spouse's
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