Homestead_Stoltz H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy B.Pollard Settlement Agent
Company
1 00 N J
I. SELLER(S)/GRANTOR(S) •
- — -
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appeaj-, conveyance document
Charles Sandefur Melody Sandefur LGG((e S Z /in
j Address(number and street) Address(number and street)
1323 South 50 East 1323 South 50 E iir 3.,,..,
City,State,and ZIP Code City,State,and ZI lel e
Princeton,IN 47670 Princeton,IN 47670 C-X
I
Country Country
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.
Si ature of
Signature of Seller f
Printed Name of Seller Date Signed(mm/dd/yyyy) PriNf.nted Name f Seller Date Signed(mm/dd/yyyy)
Charles Sandefur 10/16/2023 Melody Sand ur 10/16/2023
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
Janice Stoltz Donald Blume
Address(number and street) Address(number and street)
5526 Calle De Oro 5526 Calle De Oro
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47712 Evansville, IN 47712
Country Country
US US
Email Address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
® 1.Will this property be the buyer's primary ® 0 3. Homestead
residence? 0 ® 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 1l 6. Hydroelectric Power Device
Address(number and street) 0 N 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County c� I r I l -O
A _ _2O0 - OCR 1.0 2
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
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