Homestead_Mizeur (4) 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
Linda M.Yeryar Teresa Weisheit
Address (number and street) Address (number and street)
3124 S 425 W 3124 S 425 W
City, State and ZIP Code City, State and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
United States of America United States of America
E-mail address
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 intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level felony.
Wigg/ of Seller_ re of Seller
•
Printed Name of S I r Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Linda M.Yeryar 9/23/2022 Teresa Weisheit 9/23/2022
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
Benton L. Mizeur
Address (number and street) Address (number and street) PI
541 S. Concord Dr.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Country OAT
40a
Country 417
United States of America
apply for certain deductions. Identify all ofugilapitjtf-at apply:
YES NO CONDITION YES NO CONDITION
E 0 1. Will this property be the buyer's primary residence? lZ 0 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ P1 2. Does the buyer have a homestead to be vacated for ❑ P1 5. Wind Power Device
this residence? If yes, provide address: ❑ Q 6. Hydroelectric Power Device
Address(number and street) 0 2 7. Geothermal Energy Heating or Cooling Device
City, State- ZIP code, and county a/ •1l ok_ 02--00I - /' S-_O2 R- .