Homestead_Vernatti 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
Erin E. Stransky ) ( FILED
Addnumb
dress number and street Address number and street
521 N. Prince St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 JUL 272022
Country Country ,/� �
United States of America T AUDITOR
E-mail address Telephone number E-mail address G1B5ON COON Telephone 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.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed (mm/dd/yyyy) Printed Name of Seller I Date signed (mm/dd/yyyy)
Erin E. Stransky
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
Mitc.Pre1 Todd Vernatti —N Carol Lynn Vernatti
( Address (number an treet) Address (number and street)
524 E. Ohio St. 524 E. Ohio St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YE NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence? _ (D 0 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
0 0 2. Does the buyer have a homestead to be vacated for ❑ 0 5. Wind Power Device
this residence? If yes, provide address:
0 0 6. Hydroelectric Power Device
Address (number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and county
ai� -IA - 0 7 - ia,,x _ o0d . .1 ys...o.i$
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and complete
:- ` r6%
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