Homestead_Huey H. PREPARER
Preparer of the Sales Disclosure Form Title
Kim Racey Closer
Company
Address(number and street,city,state,country,and ZIP Code)
606 Main Street Jasper, IN, 47546
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Blake A. Johnson
Address(number and street) Address(number and street)
1805 S. Main St.
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN, 47670
Country Country
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.
Signat of Seller Signature of Seller
—6
Pr ed Name of r Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
lake A. Joh on 5/30/2024 5/24/2024
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 v document
Jarrin D. Huey
d street) Address(number and street
Address(numbe ) ED
7 � �v
City,4I24C27LI'J
{ate,and ZIP Code City,State,and ZIP Code /V
! I N 4-7 CO-7 0 �4 2024
Country Country G/es0•
Email Address
7"AA )
T
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of thosOe that apply:
YES NO CONDITION YE NOO CONDITION
Homestead
1.Wilt this property be the buyers primary
residence? 0B/ 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated IN 5.Wind Power Device
O for this residence? If yes, provide address: p ? 6. Hydroelectric Power Device
Address(number and street) 0 03/ 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County --2V_1Z4)S _2,0 3 _ oc 2 ` u _0 Zi .
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
avUt aune C/LI I l� U
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