Homestead_Gaither 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)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
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I. SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on cony n doc A'S '
Brandi L.Vela John J. Vela �� ..
Address(number and street) Address(number and street)
2398 E State Road 64 2398 E State Road 64 AUG 0
City,State,and ZIP Code City,State,and ZIP C 6 2024
Princeton, IN 47670 Princeton, IN 4767
Country . w. -- Country G/ SON op
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.
Sir re of S ler Signature of Seller
Printed Name S.Iler Date Signed(mm/dd/yyyy) Prin Name of alter Date Signed(mm/dd/yyyy)
Brandi L Vela July 25, 2024 John .Vela July 25, 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
Sandra Gaither •John Gaither
Address(number and street) Address(number and street)
2398 E State Road 64 2398 E State Road 64
City,Slate,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
} Country Country
E-mail Address
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Er1.Will this property be the buyer's primary [0 3. Homestead
❑ residence? ❑ Er 4.Solar Energy Heating or Cooling System
❑ Er/2.Does the buyer have a homestead to be vacated ❑ QV- 5.Wind Power Device
for this residence? If yes,provide address: 0 Ea' 6.Hydroelectric Power Device
Address(number and street) 0 Q"7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 26 +Z^' ` _r7 0—0 0 2_. 1 it — o Z9 -
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