Homestead_Clevenger (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy B.Pollard Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
John T.Nussmeier
Address(number and street) Address(number and street)
3309 S US Highway 41
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670
Country Country
US
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 its or falsifies any information required to be provided,commits a Level 5 felony.
Signature o Se Signature of Seller
•
Pri ed me of Seller D to Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
ohn T.Nussmeier 02/26/2024 AI 02/26/2024
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI T APPLY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on conve c ocu t
Drew Clevenger ��
Address(number and street) Address(number and street) �,,//7,9p n"14-
903 East Kentucky St. ,r l/y y v
City,State,and ZIP Code City,State,and ZIP CO Q/ Vi `Gly
e
Princeton, IN 47670 "904' r
�
Country Country Q& ,
Q 111�
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
® 1.Will this property be the buyer's primary Oil 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 2 5.Wind Power Device
for this residence? if yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 26-12-3 Q-3 0 0_
• Qr-*-
Page 3 C *,1