Homestead_Kime 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
Jerry Jines Peggy J. Jines
Address(number and street) Address (number and street)
402 N Gibson St. 402 N Gibson St.
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.
ignature of Seller XSigna of Sell j((,/x'j_ __)
Printed ke7o eller Date signed (mm/dd/yyyy) Print N S er Date signed (mm/dd/yyyy)
Jerry Jines 5/6/2024 Peggy J. Jines 5/6/2024
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL LYE
Y
Bu er 1 —Name as it appears on conveyance document Buyer 2— Name as it appears cotee�etu
} Robert C. Kime) Vanessa L. Kime
Address (number and street) Address (number and street) MAY 08 2024
196 Apache Dr. 196 Apache Dr.
City, State and ZIP Code City, State and ZIP Code A .4_ .
Summerville, SC 29483 41,10
Summerville, SC 29483 GIBSON COUNTY AUDITOR
Country Country
United States of America United States of America
Email Address `], Address
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
El ❑ 1. Will this property be the buyer's primary residence? l? 0 3. Homestead
0 2 4. Solar Energy Heating or Cooling System
0 Rl 2. Does the buyer have a homestead to be vacated for 0 0 5. Wind Power Device
this residence? If yes, provide address:
0 El 6. Hydroelectric Power Device
Address (number and street) 0 IZ 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code. and county
a6 - / - a7 — d'o3 _oo/ g'7s -0 ,1- g
Under penalties of perjury, I hereby certify that 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
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