Homestead_Hardiman (24) *.
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H. PREPARER -
Preparer of the Sales Disclosure Form Title
Natalie Foley Settlement ant
Company
Address (number and street,city,slate,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville, IN 47708
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•
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on nce document
Kimberly J.Smith �
Address(number and street) Address(number and street) It/_ 1 c
v�ra+�u�JGu
•
City,State,and ZIP Code City,Stale,and ZIP Code
. Princeton, IN 47670 f0
Country Country .
US � • �\
Email Address
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is t (tg nd complete as
required by law,and Is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies 11ratue of transferred
real pro rty,or omits o isiftes any Information required to be provided,commits a Level 5 felony.
of S ter Signature of Seller - -_
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Print Name of Selz/ Date Signed(mn1/dd/yyyy) Printed Name of Seller Dale Signed(mm/ddlyyyy)
Kim rty J.Smith 07/12/2024 ; 07/12/2024
J. BUYER(S)IGRANTEE(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
Dominic Hardiman Tyra N.Lloyd
Address(number and street) Address(number and street
a o 7 Soh v1.5�,� V e.,. r , 0 i io h 1A cm A e
City,State,and ZIP Code City,State,and ZIP Code
v. Princeton, IN 47670 Princeton,IN 47670
Country Country
Q US US
1 Email Address
n Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form ma be used to apply for certain deductions.identi all of those that apply:
YES NO CONDITION : YES NO CONDITION
D 1.Will this property be the buyer's primary ® 0 3.Homestead
p 0) O residence? 0 gl 4.Solar Energy Heating or Cooling System
I
fir, 2.Does the buyer have a homestead to be vacated 0 OD 5.Wind Power Device
`+t' O for this residence? tf yes, provide address:
0 ® 6. Hydroelectric Power Device
Address(number and street) , T�R p 0 7. Geothermal Energy Heating or Cooling Device
�3 J E. S "Le 5j.
City,Stale,and ZIP Code County
P,nee-f-c9r( /V-- L/`7(97 �s;bsert . =6- 12-Og -1)L=Uul 114--O2
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
information, SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
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