Homestead_Hemmings H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears o,4: ance document
NORENA JAYNE SCHAFER
Address(number and street) Address(number and street)
3367 S US Highway 41 4,67,b
City,State,and ZIP Code City,State,and ZIP Code ,C'iD4
Princeton, IN 47670-9211 IT 1> ?i
Country Country
E-mail Address
of my knowledge and belief,s tP ect and complete as
required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifie the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Si nature of Seller C� -c98 - qQ Signature of Seller
It-
'nt d Name of Selle r ate Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
NORENA JAYNE SCHAFER March 23, 2023 March 23, 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
JOSHAUA M. HEMMINGS
Address(number and street) Address(number and street)
3367 S US Highway 41
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670-9211
Country Country
CONDITION
1.Will this property be the buyer's primary ❑ 3.Homestead
❑ residence? ❑ d 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ❑ 46.
S Wind Power Device
❑ for this residence? Ifyes,provide address: Hydroelectric Power Device
❑ Y
Address(number and street) 0 I r.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
%-\Z- 30-3 CO - )O 1 -.s- - C 2± •
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
'``
Y