Homestead_Fitch 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
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on e document
Robin L. Knust
Address (number and street) Address (number and street)
801 S Old Patoka Rd Jli
City, State and ZIP Code City, State and ZIP Code L
Patoka, IN 47666 , 6 2023 /
Country Country ci/s, c`
United States of America OQ ,
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 a Level 5 felony.
Sig :►ia, eller- �'� v Signature of Seller
,
Printed Name of eller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Robin L. Knust 7/3/2023
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
Christopher L. Fitch
Address (number and street) Address (number and street)
905 S. Stout St
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail address
hotmail.com
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:
YrNO CONDITION YES O CONDITION
0 Will this property be the buyer's primary residence? 0 3. Homestead
❑ 2 4. Solar Energy Heating or Cooling System
0 1 2. Does the buyer have a homestead to be vacated for 0 p 5. Wind Power Device
this residence? If yes, provide address:
❑ 0 6. Hydroelectric Power Device
Address (number and street) 0 2 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county Q / ^/Q2-( y `ack2 _ o vq ` , n
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
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