Homestead_Vanmeter (2) /
H. PREPARIER
Praparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and otveet, city, mtaUa, country, and ZIP code)
6Ob8EMartin Luther King JrBoulevard, Evansville IN United States ofAmerica 47713
i 8ELLER(S)/GRANTOR(S)
Seller 1 —Nameam it appears on conveyance document Seller 2—Name as it appears on conveyance document
Richard Georges �� w u nx��
Address(number and street) Address (number and street) 0
3162 S65O E
City, State and ZIP Code City, State and ZIP Code
Francisco, IN 47049 . '~
Country Country
�mP t���
United States ofAmehom '��� —�� --�—
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Under penalties of perjury, | hereby certify this Sales Disclosure,to the best ofmy know|ed trueuorreot,and complete as
required hy|avv.and io prepared in accordance m/ith |CG'1.i'5.S.A person who knowingly and inton���h�D� value oftransferred
real property, or
. v0//��/
_IP~ at of SelleSignature of Seller Z4
Printed �amoofSel|~r Date Signed (mm/uu/ Printed Name ofSeller Date Signed (mm/dd/yyvv)
Richard Georges YYYY)
9/27/2O24
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1 —Name oni\appears nn conveyance document Buyer 2—Name ooit appears on conveyance document
8|aynaVanmuter
Address (number
b and street) Address (number and street)
4638S 1025E
City, State and ZIP Code Ci1y, State and ZIP Coda
Oakland City, IN 47660 .
Country Country
United States of America
for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
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E� El 1. Will this pnopo�ybothe buyer's primary residence? �� O 5. Homestead
^/ El B 4� So|urEnargyHnodng or Cooling System
O �� �. Dneuthebuyarhava m humeataod�o ba«�oatad fbr this residence?. O G] 5. Wind Power Device
If provide' � O E5 8. Hydroelectric Power Device
Address(number and ohoot) O EO T. Geothermal Energy Heating orCooling Device
City, State, and ZIP Code County 24,_)1 ~~1 � ,~ C)C) I , ~_»+S~~�— o 2 ?
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 in prepared in accordance with |C V'1.1'6.5.A person who knowingly and intentionally falsifies the value of .
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