Homestead_Liu (2) H. PRERARER
Pmperercf the Sales Disclosure Form Title '
Matthew Jarvis Escrow Officer -
Company
Address (number and street, city state, country, and ZIP code)
005 GE Martin Luther King JrBoulevard, Evansville IN United States of America 47713
|. GELLER(B)/GBANTOR(S)
Seller 1 -Name aod appears on conveyance document Seller 2-Name ooit appears on conveyance document
Estate of Janice S. [NcB|hiney
Address (number and street) Address (number and street)
715N Race St
City, State and ZIP Code City. State and ZIP Code
Princetn', |N47O7U
Country Country
United States ofAmerica '
E-mail address
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 o Level sfelony.
Si" ' of Seller ' 6 z � Signature ofSeller
Printed Name ofSeller `^`�] Date signed Vnmmu/yyvy Printed Name ofSeller Date signed (mmmu/yyvv
Ramona JNluB|hiney. Personal 8/30/2023
Representative
J. BUYER(S)AGRANTEE(S)-APPL|CAJ|ON FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1 -Name osit appears on conveyance document Buyer 2-Name ooit appears nn conveyance document
[NeiHuaLiu De|eZhong
Address(number and street) Address(number and street)
413E Oak St. 413 E Oak St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670 [ '
' � --;
Country Country
Un�edS�deoofAmahca United 8�teocfAmohoa L-L�J ��
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E-mail address Telephone number E-mail address Te/ h nu�'er � ~
�'^~T' ��s
_ p��n�� , \}
Pursuant to|CG4.1'1244'the Sales Disclosure Form maybe used ho apply for certain deductions. Identify all o tha��op| u
YE NO CONDITION YES �O CONDITION-�~
ZO 1. Will this property be the buyer's primary residence? O 3. Homestead
�~o
O ED 4. Solar Energy Haohngor Cooling System
O A� 2 Dnao�hebuyerhaveohnmouteadtobevams�odfor
' O �� � Wind this residence? If yes, provide ' 'r
' � O E] G Hydroelectric
/\ddreoo(number and street) '
O E� 7. Geothermal Energy Heating o,Coo
City. State,ZIP code, and county
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