Homestead_Yasui 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) f '� �
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears-bnAnvey d u nt
Brandon L. Neber
Address(number and street) Address(number and stet)
1822 Keystone Drive 142024
�\
City,State,and ZIP Code City,State,a IP Code /
Princeton, IN 47670 "�
USAtry 1 Country Q' SO � 4
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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.
Signaturet Seller Signature of Seller
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Printed Name of Seller S Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Brandon L.Neber 7/1/2024 7/1/2024
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
Yohei Yasui Yee Kiu Lawrence
Address(number and street) Address(number and street)
609 North Hall Street 609 North Hall Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
USA USA
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 ❑ 3. Homestead
❑X II residence? ❑ Li 4.Solar Energy Heating or Cooling System
. Does the buyer have a homestead to be vacated ❑ ❑X 5.Wind Power Device
❑ for this residence? If yes,provide address: ❑ ❑X 6. Hydroelectric Power Device
Address(number and street) ❑ ❑X 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
26.-12._-0/ — NO1 - 001 . 1S — pZj
N cier 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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