Homestead_Green 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 conveyance document
Jane Ellen Kendle Asset Protection Trust 1 U/T/A dated July 31, 2020
Address(number and street) Address(number and street)
2125 S.650 E.
City, State and ZIP Code City, State and ZIP Code
Francisco, IN 47649 ,
Country Country
United States of America
Email 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.
ig : re of Seller Signature of Seller
P 'ntC•Ii an' of Seller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
J rey C. Kendle,Trustee 8/8/2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT +1�
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it ap s n onv a ocument
Russell Green
Address(number and street) Address(number and str �013
2125 S 650E 01 l'. .rC'
City, State and ZIP Code City, State and ZIP Code '�('
Francisco, IN 47649 , N,�J ,0,-,OCountry R
Unite States of America GosCountry , 'r ON GOV
O 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:
i
`) YES NO CONDITION YES NO CONDITION
A lI ❑ 1. Will this property be the buyer's primary residence? 0 0 3. Homestead
D 0 El 4. Solar Energy Heating or Cooling System
p 2. Does the buyer have a homestead to be vacated for 0 2 5. Wind Power Device
this residence? If yes, provide address:
0 I✓1 6. Hydroelectric Power Device
Address(numb r and street) 0 l 7. Geothermal Energy Heating or Cooling Device
7 055 orm ohT S f-
f! City, State,ZI 'code, and county
OPrinCZIVn, .TA/ L7670 G1456,n c l0' -3 -\q - l -lOO - DoO. .,— - — OC)
rJ 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
.q transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. (Note:Both spouse's
V information, SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)