Homestead_Hook 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. SELLER(S)/GRANTOR(S)
--
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Mark Schulten Anastasia Schulten
Address(number and street) Address(number and street)
2520 Skyline Drive 2520 Skyline Drive
City,State,and ZIP Code City,State,and ZIP Code
Evansville, IN 47712 Evansville, IN 47712
Country Country '
Under penalties of perjury,I hereby certify 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.
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed(mrn/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Mark Schulten 8/30/2024 Anastasia Schulten 8/30/2024
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
Loren Nicole Hook Jermaine McDaniel
Address(number and street) Address(number and street)
1005 East Ohio Street 1005 East Ohio Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
USA USA
_Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this propertt t er's primary ❑X ❑ 3. Homestead
❑ residence? ❑ El 4. Solar Energy Heating or Cooling System
X. Does the buyerbave a ho t ao - vacated ❑ ❑ 5.Wind Power Device
❑ �/'►\for this residence�a�fj9e�,provide e - .: ❑ D 6.Hydroelectric Power Device
Address(number and ) , ?O?� �{ ❑ Q 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and�Ge-Q I
0(.7: 26-12— ll — 103 -01,36 ? — o2E
Under penalties of perjury,I hereby c t this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
3 ff 'iAj `.
COPY
, .