Homestead_Guyer 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 fIT ,
I. SELLER(S)/GRANTOR(S)
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Seller 1 — Name as it appears on conveyance document Seller 2—Name as it appears on conveyance docu en
Johnny M. Muncy Mary E. Muncy
Address (number and street) Address (number and street) APR 2 0 2023
2744 E.Top Hat Rd. 2744 E.Top Hat Rd. y�
City, State and ZIP Code City, State and ZIP Code %.rLc�•
aat.0 �. p )
Princeton, IN 47670 Princeton, IN 47670 GIBSON COUNTY AUDITOR
Country Country
United States of America United States of America
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.
JpattrseAf Seller ignature of Seller
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Printed Name of eller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Johnny M. Muncy 4/7/2023 Mary E. Muncy 4/7/2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Bu �' — me as it appears on conveyance document Buyer 2—Name as it appears on con ocut
Kim R. Guyer i
Address (number and street) Address (number and street)
1266 Maple Ct
City, State and ZIP Code City, State and ZIP Code APR 1 4 2023
Evansville, IN 47714 ,
Country Country AriuJ a,.L7/i,e,
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YE c
l 0 1. Will this property be the buyer's primary residence? RI 3. Homestead
❑ RI 4. Solar Energy Heating or Cooli riujt'
❑ ❑ 2. Does the buyer have a homestead to be vacated for ❑ WI5. Wind Power Device
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this residence? If yes, provide address:
❑ RI 6. Hydroelectric Power Device
Address (number and street) 0 E 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county
A -/A -lS- /6o - opt). 7 )- ?- 017
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