Homestead_Schafer (7) 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 on conv eau ument
MELISSA KAY SELBY
Address(number and street) Address(number and street)
208 N Wilson Avenue 4/3
City,State,and ZIP Code City,State,and ZIP C /
so R
Princeton, IN 47670-3120 �- 0
Country Country S0� J�
OO c
E-mail Address
my knowledge and belief,Is true,El'"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 falsifies the value of transferred
real propertyfor omits or falsifies any Irtfo-mation required to be provided,commits a Level 5 felony.
Si�atur of Iler 1 Signature of Seller
Vnnte me of Self er �-• Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
MELISSA KAY SELBY March 20, 2023 March 20, 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
AUSTIN MICHAEL SCHAFER MADISON SCHAFER
Address(number and street) Ave. dress(nu and str� t)
2a w son A L.a Iv sisal Ave.
Cl ,S te,andnZIP Code City,State,and ZI Code
1�1 n�e \Nt'i (v^1b V ad1 nct cx� , IN Q-j(�i 0
untry �ountry,
E-mail Address
CONDITION
1.Will this property be the buyer's primary V 3. Homestead
❑ residence? 1:1.
Solar Energy Heating use 4iik,
,fi?�;m
5.Wind Power Device �' .t ° '' s r.
2. Does the buyer have a homestead to be vacated ❑ s-;
If yes, provide address: Device
❑ for this residence? ❑ � 6. Hydroelectric Power �
Address(number and street) ❑ [� 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County q
v 41:. d'4 ^Zo3 —002- .-1-7-9--02-23 .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete