Homestead_Nichols (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly Norton Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) _
Seller 1—Name as it appears on conveyance document I Seller 2—Name as appears on conveyance document
VAUGHN A. HARPER
Address(number and street) Address(number and street)
328 W Emerson Street
City,state,and ZIP Code City,state.and ZIP Code
Princeton, IN 47670-1359
Country Country
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.
r�Signatur of Sell r %��/—) ///��� Signature of Seller
v _Prim Selig 'c Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
VAUGH .HARPER June 1, 2022 June 1, 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
SCHUYLER NICHOLS
Address(number and street) Address(number and street)
217 W Walnut Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670-1429
Country Country
E-mail address
apply for certain deductions.Identify all of those tha 4,T,
YES NO CONDITION YES NO CONDITION
o Q
1.Will this property be the buyer's primary El 3. Homestead M
❑ residence? ❑ .�14.Solar Energy Heating or Cooling Sys m p �,D
2.Does the buyer have a homestead to be vacated ❑ ir� 5.Wind Power Device ) 1 Z
for this residence? If yes,provide address: ❑ 12, 6.Hydroelectric Power Device r TT.
Address(number and street) ❑ ¢_7.Geothermal Energy Heating or V�*ig9 Device
City,state,ZIP code,and county
5