Homestead_Theys 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) FILEJL..)Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on Brent Jones Laura Jones
Address(number and street) Address (number and street) JUN 17 LuLZ
1203 E.Water St. 1203 E.Water St.
City, State and ZIP Code City, State and ZIP Code �y�
/T oU. 4 AUDt OAR
Princeton, IN 47670 Princeton, IN 47670
CountryGIBSON
Country
United States of America United States of America
E-mail address
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.
Siiatu of Seller iatur: of Seller
n 4 OLc_ �, /
Printe NamA.ae of ell Date signed(mm/dd/yyyy) Prin' ame of Selle I Date signed (mm/dd/yyyy)
Brent Jones 6/13/2022 Laura Jones 6/13/2022
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
Shannon L.Theys
Address(number and street) Address (number and street)
708 S. Stout St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail address �
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence? l ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ ❑ 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device
this residence? If yes, provide address:
El 0 6. Hydroelectric Power Device
Address (number and street) ❑ 21 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county 7/—/ ^6g^3c 1 - cot . D !S -c d