Homestead_Berry H. PREPARER
Peparerof the Sales Disclosure Form Title .
Matthew Jarvis Escrow Officer
Company
|. SELLER(S)/GRANTOR(S)
Seller 1 -Name aoit appears on conveyance document Seller 2-Name anit appears on conveyance document
Richard E. Evans
Address (number and street) Address (number o qmo
2237N85OE
City, State and ZIP Code Coy. State and ZIP Co e
Princeton, |N 4707O . /' -�Z ,'
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Country Country
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United States ofAmerica
E-mail address /e /u/ uo/
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Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge a d belief, isand.complete ao
required by law,and is prepared in accordance with |cn-1.1'5.5.A person who knowingly and intentionally �a|s cvftransferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
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ignatura of S - Signature of Seller
Printed Name'ofSeller 'Date signed (mm/ug/yyyy) Printed Noma of Seller Date signed (mrn/du/yyyy)
Richard E. Evans 5/30/2023
J. BUYER(S)/GRANTEE<S>-APPLICATION FOR PROPERTY TAX DEDUCTIONS-|DENT|FY �
Buyer 1 -Name asit appears nn conveyance document Buyer2-Nameaui/nppe�h�o������yancedocumont
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(-Address (number and uhno0 Address (number and nhao0 o°'` v
523N. Race Gt
Qty, State and ZIP Code City. State and ZIP Cod
Princeton. IN 47670 . ' |�'SCNCOUNTYAUo{TOn
Country Country
. United States ofAmerica
E-mail address
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Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
[Q O 1. Will this property be the buyer's primary residence? O 3. Homoota^"
�- 0� E5 4� So|arEnorgyHeaUngorCoo|ing �ys�em
O �� 2. Does the buyer have a homestead 0obavacated for O F� 5 Wind Power Device
this residence? |fyen provide' � O B O. Hydroelectric Power Device
Address (number and street) O G] 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county � �~�� ��� _� u�~� � ��� � �� �~ � �� ~� �7
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Under penalties uf perjury, | 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 6-1.1-5.6.A person who knowingly and intentionally falsifies the value of .
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