Homestead_Mullins H. PREPARER
Preparer of the Sales Disclosure Form Title
Escrow Officer
Matthew Jarvis
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) T
Seller 1 —Name as it appears on conveyance document Amanda Steiner Seller 2—Name as it appears on coy /E:tcu
�(_..�. �
it
Matthew Steiner
Address (number and street) Address (number and street) ,1,
478 W. 350 S. 478 W. 350 S. J4 6 ?O
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country 1.
United States of America United States of America Q ONCOIj�•
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.
S ignat re of Seller S' nat e of eller
Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
M te ame er Se$.7 ,_____
1/18/2023 Amanda Steiner 11/18/2023
Matthee w Steiner
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
Ronna
D. Mullins J. Mullins
Address (number and street) Address (number and street)
11250 Church St. 11250 Church St.
City, State and ZIP Code City, State and ZIP Code
Cynthiana, IN 47612 Cynthiana, IN 47612
Country
Country United States of America
United States of America
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
p ❑ 1. Will this property be the buyer's primary residence? D 0 4. So 3. Homestead la Energy Heating or Cooling System
❑ V/2. Does the buyer have a homestead to be vacated for 0 0 5. Wind Power Device
this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device
Address (number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county 49 �/ i_ ate_ p0— ,-7 33 -oa-7
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
onally
sifies the value of
required bylaw,and is prepared
omits rr orfalsifies any information on required ed to person
be provided,commits a'Level'5 felony.)(Note:
transferredBoth spouse's
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