Homestead_Tomey (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Shannon M.Vaiant 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
PeggyTomey-Hunt FILED
Address
(number and street) Address(number and street)
7712 CoventryApt C
City, State andnd ZIP Code City, State and ZIP Code JUL 2 7 2022 qt111
Evansville, IN 47715
Country Country t�� ,t,-
United States of America /k��Lad ./ AUp TOR
T�IB3ON COUP{
U deri ties of perjury,I h eby 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.
Sig3ture of Se,er 4 Signature of Seller
Printed of Seller Date signed (mm/dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Peggy A.Tomey-Hunt 7/22/2022
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
Brandi Tomey Zackary Tomey
Address(number and street) Address(number and street)
730 S. Hall St. 730 S. Hall St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
E-mail address
Oo Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
O YES NO CONDITION YES NO CONDITION
0 El 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
O ❑ 0 4. Solar Energy Heating or Cooling System
El 2. Does the buyer have a homestead to be vacated for 0 0 5. Wind Power Device
O this residence? If yes, provide address:
p 0 0 6. Hydroelectric Power Device
N Address(number and street)
) C I 'Pt-
0 0 7. Geothermal Energy Heating or Cooling Device
A `6So E.SA2-IACC- ST • 11 V �
r- City, State,ZIP code, and county —
Ib/_&- 0_s�`O
N 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
• information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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