Homestead_Andreou H. PREPARER 9
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 veyance document
Kent Rish
Address(number and street) Address(number and street) 1 �
304 N Race Street �( '
City,State,and ZIP Code City,State,and ZIP Code 1:)
Princeton,IN 47670 '4 '
Country Country �, <4/ 4
US
best of my knowledge and belief` b r affect,and complete as
required by la and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally-a..., s the value of transferred
real prope ,o omits r falsifies any information required to be provided,commits a Level 5 felony.
Si ature Se er Signature of Seller
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Printe Name o eller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Kent Rish 05/03/2024 05/03/2024
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
Andriana Andreou Chandon C.Brucks
Address(number and street) Address(number and street)
608 S Stormont St 608 S Stormont St
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670 Princeton, IN 47670
Country Country
US US
•
1. Will this property be the buyer's primary ® 0 3. Homestead
�• ® residence? 0 ® 4. Solar Energy Heating or Cooling System
D �) 2. Does the buyer have a homestead to be vacated O l 5.Wind Power Device
l f �/`' ;si for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
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N Address(number and street) 08 ® 7. Geothermal Energy Heating or Cooling Device
h0 J 1v-(-�-
i
M,State,and ZIP Code County 7 /
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Underpenalties ofperjury,I certifythat this Sales Disclosure,to the best of myknowledge and belief, is true,correct,and complete
� hereby 9 P
r 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
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