Homestead_Hardiman (23) H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
1101 Plaza East Boulevard, Suite 102, Evansville, IN 47715 I. SELLER(S)/GRANTOR(S) FILED
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
TERRY J. GRAY MICHAEL L. WRIGHT
2)I Address(number and street) Address(number and street)JUL 1-5-2C1
1218 McKinley Street \ (
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 4767-7) 4/J a. i4 t n4)
Country Country
GIBBON COUNTY AIT
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 s Selle J W
c>eLt.
Pnnted Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller /^✓^ ned(mm/dd/yyyy)
( YYYY)
TERRY J GRAY April 1 1, 2024 MICHAEL L WRIGHT April 11, 2024
J. BUYER(S)/GRANTOE(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
LDEON HARDIMAN SEQUOIA HARDIMAN
Address(number and street) Address(number and street)
1218 McKinley Street 1218 McKinley Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670-2942 Princeton, IN 47670-2942
Country Country
E-mail Address
YES NO CONDITION YES NO CONDITION
Diz ❑ 1.Will this property be the buyer's primary Er 0 3. Homestead
residence? ❑ a-- 4. Solar Energy Heating or Cooling System
❑ r— .Does the buyer have a homestead to be vacated ❑ []� 5.Wind Power Device
for this residence? If yes, provide address:
❑ Ef 6. Hydroelectric Power Device
Address(number and street) ❑ Er 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
26- 1 Z— i —1o3 — o0J 3 S1 — 02_3
' 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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