Homestead_Peyton H. PREPARER
Preparer of the Sales Disclosure Form Title
Kayla Vaughn Title Research
Company
Address(number and street,city,state,country,and ZIP Code)
17 W. Main Street, Poseyville, IN 47633
I. SELLER(S)/GRANTOR(S) P
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on / . jilt.•c t
Karen K. Richardson
Address(number and street) Address(number and stree
tOrn 6373 W.Old Princeton Rd s ?/i-f
City,State,and ZIP Code City,State,and o e ,�i"O �VVJ
Owensville, IN 47665 and.,
S 202!
Country Country l
G/es_
NQ
Email Address
Al%7.. )
Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is true,c9tPect 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.
i n ture`offS/` �fo
e�l r Signature of Seller
Print
ed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Karen K. Richardson 05/02/2024
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
Charles O. Peyton Rebecca L. Peyton
Address(number and street) Address(number and street)
1838 W. Burlington Place 1838 W. Burlington Place
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 , Princeton, IN 47670
Country Country
Email Address
apply for certain deductions.Identify all of those that apply:
N YES NO CONDITION YES NO CONDITION
a ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
t residence? ❑ Z 4. Solar Energy Heating or Cooling System
-..D
_40 E ❑ 2. Does the buyer have a homestead to be vacated ❑ ❑� 5.Wind Power Device
�`�-- for this residence?If yes,provide address: ❑ ❑✓ 6. Hydroelectric Power Device
• Ad'ressl(number and set) ❑ ❑✓ 7.Geothermal Energy Heating or Cooling Device
D City, tat ,and ZIP Code County
Di air -_n— 2� - 10 -3G- 1o( -000 . I I - UZI
Unde penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
,p 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
i information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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