Homestead_Dorris (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Lana Harper Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville, IN 47708
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as It appears on conveyance document Seller 2—Name as appears on conveyance document
Beverly J.Wyatt
Address(number and street) Address(number and street)
309 W.Spruce St.
City,State,and ZIP Code City, State,and ZIP Code
Princeton, IN 47670
Country Country
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.
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Beverly J.Wyatt 06/28/2024 06/28/2024
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 veyance document
Melissa Faye Dorris
Address(number and street) Address(number and street)
309 W.Spruce St. t,46:?)
City,State,and ZIP Code City,State,and ZIP Code ,/e
Princeton,IN 47670 �Q c OJ \
Country Country �4 /)
us G/eSC
Email Address
certain deductions.Ident14.1 ose that apply:
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ( ❑ 3. Homestead
residence? O ® 4. Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated ❑ ( 5. Wind Power Device
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 2 6_ 12_U7—)0 2—v o ) -3 ) — 02 k