Homestead_Packer (2) 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
I.SELLER(S)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conv ce o men
Stacy A. Robb
Address(number and street) Address(number and street)
802 E Oak Street O/�
City,State,and ZIP Code City,State.and ZIP Code 1.1
Princeton, IN 47670 5 2024
Country Country
best of my knowledge and belief,is true,correct all mplete 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 f Seller Signature of Seller
t-f
99ii
Prince ame of Se Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Stacy A Robb October 18, 2024 October 18, 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
Sean M. Packer Shannon L. Packer
. Address(number and street) Address(number and street)
oO 802 E Oak Street 802 E Oak Street
„A City,State,and ZIP Code City,State,and ZIP Code
Irl Princeton, IN 47670 Princeton, IN 47670
Country Country
`__ 11 J E-mail Address
O YES NO CONDITION YES NO CONDITION
0 ,--�/ 1.Will this property be the buyer's primary Er ❑ 3.Homestead
) tJ ❑ residence? ❑ Er 4.Solar Energy Heating or Cooling System
M 2.Does the buyer have a homestead to be vacated 0 13 f 5.Wind Power Device
L ❑ for this residence?If yes,provide address: ❑ 6.Hydroelectric Power Device
-'( Ayldress(number and street) ❑ 1r T.Geothermal Energy Heating or Cooling Device
r--, 601 . �u�.tsn.rDL Sly: o 0
State,ZIP c�de�,and Coun
Q re,tIPcj= T3 Lir](„ 70 &12-- o1 - 2
02-3 . cil3 '022
NUnder penalties of perjuryy,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,asitrue,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
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