Homestead_Barniak 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
Danny W. Loyd
Address (number and street) Address (number and street)
1023 E. Steelman Rd.
City, State and ZIP Code City, State and ZIP Code
Patoka, IN 47666 '
Country Country
United States of America
E-mail address
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.
i lure of Seller L Signature of Seller
Printed Name of Seller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Danny W. Loyd 10/21/2022
J. BUYER(S)/GRANTEE(S))/ -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
yer 1 -Name ash ronv
ppears on conveyance document Buyer 2- Name as it a r n _vibe
Janice Barniak -4 and street)ress number Address (number and s eet
803 N. Main St. OCT 4 L�Lj
City. State and ZIP Code City, State and ZIP Code
Princeton, IN 47670
47,7s
7-6--)
Country
Country c-ltett/ a. ..4-:%e,-ma-
United States of America GIBSON COUNTY AUDITOR
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YE ON
El 0 1. Will this property be the buyer's primary residence 0 ❑ 3. Homeste d
4. Solar Energy Heating or Cooling System
❑ RI 2. Does the buyer have a homestead to be vacated for ID El 5. Wind Power Device
this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device
Address (number and street) ❑ RI 7. Geothermal
Energy Heating or Cooling Device
City, State.ZIP code, and county // //O .ma 39- Dot
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