HomeMy WebLinkAboutHomestead_Carey (4) 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. SELLER(S)/GRANTOR(S) FTLED
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
ROBERT D. KRIEG KARA S. KRIEG
Address(number and street) Address(number and street) APR 1 7 202
592 S Concord Drive 592 S Concord Drive
_..../
City,State,and ZIP Code City,State,and ZIP Code —
Princeton, IN 47670-9325 Princeton, IN 47670-9325 Airjzaz..e. a
Country Country GIBSON COUNTY AUDITOR
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 and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sigil4ire Seller s•N i j -- Sig ature of Seller
I) F\ ouv, 5 VA
Printed ame of eller U Date Signed(mm/dd/yyyy) Pnnted Name of Seller Date Signed(mm/dd/yyyy)
ROBERT D. KRIEG March 24, 2023 KARA S.KRIEG March 24,2023
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
RICHARD CAREY JENNIFER TARVIN
Address(number and street) Address(number and street)
. -.
592 S Concord Drive 592 S Concord Drive /
City,State,and ZIP Code City,State,and ZIP Code . .,., 741111* ,.,i _
Princeton, IN 47670-9325 Princeton, IN 47670-9325 z f.
a,
Country Country ,
YES NO CONDITION Yr NO CONDITION
1.Will this property be the buyer's primary
d r---1
L-1 residence? 3.Homestead
0 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 g( 5.Wind Power Device
El for this residence? If yes, provide address: 0 gi 6.Hydroelectric Power Device
Address(number and street) 0 f 7.Geothermal Energy Heating or Cooling Device
City.State,ZIP code,and County
G --\I - )1-1-(01- 00o. Li TO - 027-- .
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
information,SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deduction Is being filed.)