Homestead_Robling 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 appe yEdrtNent
Estate of Kelly B. Deffendall
1
Address (number and street) Address (number and stree
1413 S. Metro Dr.
City, State and ZIP Code City, State and ZIP Code f t11
17 2023C\-. .._.:)- \
Princeton, IN 47670
Country Country
United States of America Aaza.d a.
pirit46.424)
E-mail address i
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.
ti tore of teller Signature of Seller
vile.
vrs
Prin N. e . Seller D e signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
2/10/2023
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
Kyle Robling Scott Robling
Address (number and street) Address (number and scree
5 edkd
/71'? E Coon fy Road ID 4 � �
City, State and ZIP Code City
, State and ZIP Code
WIns!ow, . v U175ei $ , .7-4/ 1176 13
Country Country
United States of America United States of America
E-mail address
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
p 0 1 . Will this property be the buyer's primary residence? 0 ❑ 3. Homestead Cl.
0 RI 4. Solar Energy Heating or Cooling Sy —
0 El 2. Does the buyer have a homestead to be vacated for 0 ❑ 5. Wind Power Device
this residence? If yes, provide address:
❑ WI 6. Hydroelectric Power Device
Address (number and street) ❑ RI 7. Geothermal Energy Heating or Cooling Device .
City, State. ZIP code. and county
64 .-- ii- )-3- 30o _ co a . 03 -2 - b�--)
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
5. Other 7/i i Ae s /5 K y s r 1!h a r