Homestead_Folsom 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
Robert P. Beadles, Jr. Heather Michelle Beadles
Address (number and street) Address (number and street)
830 S Deer Haven Dr. 830 S Deer Haven Dr
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
Email Address
Under 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.
ig f ell r 6JJ,e,o, (21 na of Seller ii ➢ 0 Qo
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Robert P. Beadles. Jr 2/29/2024 Heather Michelle Beadles 2/29/2024
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
Mary A. Folsom
Address s (number and street) Address (number and street)
830 S Deer Haven Dr. -P,14
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 M,Q ij
Country Country R �VvJJ
United States of America ,1
Email Address
to apply for certain deductions. Iilp (.4 f•
those ly:
YES NO CONDITION YES NO CONDITION /TOR �)
p ❑ 1. Will this property be the buyer's primary residence? El 0 3. Homestead \ n
❑ El 4. Solar Energy Heating or Cooling Syste
0 R 2. Does the buyer have a homestead to be vacated for 0 p 5 Wind Power Device
this residence? If yes, provide address: ❑ RI 6. Hydroelectric Power Device
Address (number and street) ❑ RI 7. Geothermal Energy Heating or Cooling Device
City, State. ZIP code, and county
a6 -ia - 15 - /61 . -00% y7 -- voZ 7
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