Homestead_Ungethiem H. PREPARER
Preparer of the Sales isclosure Form n Title
a(1(4 a
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201, Evansville, IN 47715
r
I. SELLERS)/GRANTOR(s)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Jeremiah E.Huff Jamie L. Huff
Address(number and street) Address(number and street)
1001 E Water Street 1001 E Water Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
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.
: ::a: :eller
/Date Signed(mm/dd/yyyy) Pri t•. Name of S er ate igned(mm/dd/yyyy)
Jeremiah E. Huff 05/01/2024 Jamie L. Huff ( 05/
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL TH
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on apF ,document
Heather Ungethiem John Bizal UU 2024
Address(number and street) Address(number and stre-
5445 Garden Ct Apt 2K 5445 Garden Ct Apt 2KG/goN-
City,State,and ZIP Code City,State,and ZIP Code CO
Evansville,IN 47715 Evansville, IN 47715 /v'AVO,
Country Country
i YES NO CONDITION YS NO CONDITION
N O 1.Will this property be the buyer's primary 0 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 ® 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 I /_ ( Z_a O_3k0 l _G 00.3 I Q _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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