Homestead_Priest H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street, city,state,country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document J Seller 2—Name as appears on c v e document
ReShay Wagner
Address(number and street) Address(number and street)
211 South Gibson Street
City,State,and ZIP Code City,State,and ZIP Code ✓O/
Princeton, IN 47670 ,Y 1 f)
12 ,
Country Country 2024
USA %s
4/N • "'"
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,i ct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fal iqtp the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
,� ignature of Seller Signature of Seller
Printed Nam t Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
ReShay Wagner June 18, 2024 June 18, 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
Kally A. Priest Christopher A. Clayton II
Address(number and street) Address(number and street)
1008 South Race Street 1008 South Race Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
USA USA
YES NO CONDITION
1.Will this property be the buyer's primary 00 3. Homestead
❑X Elresidence? ❑ ❑X 4.Solar Energy Heating or Cooling System
e�}/2. Does the buyer have a homestead to be vacated ❑ ❑X 5.Wind Power Device
❑ for this residence? If yes,provide address: ❑ Q 6.Hydroelectric Power Device
Address(number and street) ❑ ❑X 7.Geothermal Energy Heating or Cooling Device
i City,State,ZIP code,and County / Z—
2 r3-200 -000. 4 89-ovs
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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