Homestead_Sterczer 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
LaTisha K. Johnson
Address(number and street) Address (number and street)
PO Box 1525
City. State and ZIP Code City, State and ZIP Code
Vincennes, IN 47591
Country Country
United States of America
Email Address
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.
.1:ture • Signature of Seller
Pri e: Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy)
LaTisha K. Johnson YYYY)
6/18/2024 Pit
/ RANTEE S —APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPtl.4f�,�
J. BUYER(S)G ( ) J(/
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it ears on.colprance document
Kyndall Marie Sterczer G/ 2O
Address(number and street) Address (number anc�gflkf� %/
5479 E CR 250 S OU�VTy'�Zo V1 L
City, State and ZIP Code City, State and ZIP Code QUO/TO'2aJ
Francisco. IN 47649 ,
Country Country
United States of America
Email Address
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? El ❑ 3. Homestead
❑ El 4. Solar Energy Heating or Cooling System
0 El 2. Does the buyer have a homestead to be vacated for 0 p 5. Wind Power Device
this residence? If yes, provide address:
❑ 6. Hydroelectric Power Device
Address(number and street) ❑ RI 7. Geothermal Energy Heating or Cooling Device
City. State,and ZIP Code County
Bc6--Da.-57 I/ -000.530 .-o/i7
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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