Homestead_Jones (27) .
H. PREPARER
Preparer of the Sales Disclosure Form • Title
Allyn Tresenriter Escrow Officer
Company
. Address(number and street,city,state,country, and ZIP Code).
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller-2—Name as appears on conveya ume
Lloyd E.Jones ;
Address(number and street) Address(number and street) 4
722 Highland Ave UG'?8 1)
City,state,and ZIP Code City,state,and ZIP CA:: •
OCakland Countryd City, IN 47660 w/esOti- ���0 c5)
• eo ? ,
US US �✓cN :e!^
E-mail address
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
r I property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
S 1 natur , eller Signature of Seller
1`
n -d Name o eiler • Date signed(mrrm/dd/yyyy) Printed Name of Seller Date signed(mm/ddiyyyy)
Lloyd E. Jo es 08/23/2024
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
Samuel L.Jones
Address(number and street) Address(number and street)
716 East State Street
City,state,.and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
•
Country/ Country
US US
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 0 1.Will this property be the buyer's primary 0 0 3. Homestead,
residence? 0 0 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes,provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 Cl 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 2_t r I�`�^ 61_'�/. —Q p r�
(� 3, 686 - 0 S
z.