Homestead_Richardson (20) H. PREPARER
Preparer of the Sales Disclosure Fo rn Title
/
�l Title Company
Company
•
Address(number and street,city, state,country,and ZIP Code) ,�
7820 Eagle Crest Blvd,Suite 201, Evansville, IN 47715 Qi
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as apMrs n conveyance document
Christopher Chad Shade Juli Ann Shade 4 2
Address(number and street) Address(n r and street)
1062 N Main Street 1062 N M i t 1
City,State,and ZIP Code City,State,aRnoFfLW:...02
.
Princeton,IN 47670 Princeton, IN 47670 •ANT --4'�znl
Country Country O/.?
US US
41Under 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.
Signat , Seller c �) �/ Sig ur of Seller
Printed Name o Sf eller l Date Signed(mm/dd/yyyy) Pri Name o Sf eller Date Signed(mm/dd/yyyy)
Christopher Chad Shade 08/18/2023 J i Ann Shade 08/18/2023
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
Michael Richardson Aurora Dearing
Address(number and street) Address(number and street)
214 W Oak Street 214 W Oak Street
City,State,and ZIP Code City,State,and ZIP Code
• Princeton,IN 47670 Princeton, IN 47670
Country Country
US US
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 Y NO CONDITION
ON1.Will this property be the buyer's primary . 0 3. Homestead i
residence? Q ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
AOdres (num a and street) �� p a) 7. Geothermal Energy Heating or Cooling Device
ity,State, nd Code County
Under penaltie tof 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
information,SSN/Dri is L a/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
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