Homestead_Stantz H. PREPARER
Preparer of the ales Disclosure
sure ,prm f Title
h C/J 4: / Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
I Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on c a e cument
Shawn P.Heavrin
Address(number and street) Address(number and street)
3355E 100 N /A
- 1))
City.State,and ZIP Code City.State,and ZIP Code
Princeton,IN 47670 ,9 1
p.
Country Country 0/6,
US Soy
•
of my knowledge and belief,is true,Td ect,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.
Signature of Seller Signature of Seller I
-e- . ' -�,,�.,�
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Shawn P.Heavrin 01/18/2024 01/18/2024
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
Amy Nichole Stantz
Address(number and street) Address(number and street)
802 S 15th St
City,State,and ZIP Code City,State,and ZIP Code
Vincennes,IN 47591
Country Country
US
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 1.Will this property be the buyer's primary L 3. Homestead
residence? 0 fE 4.Solar Energy Heating or Cooling System
\�-, 0 2.Does the buyer have a homestead to be vacated ® 5.Wind Power Device
Jb. for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
(ris (nurr er and TE_Ipkv 0 a) 7. Geothermal Energy Heating or Cooling Device
O
Ci State,and ZIP Lde County
( \ nr et'VAC i Ilk 41 9 i --12--(A -ya0 -000 3S1—o2-1-- .
Under penalties of perjjury, 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