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Homestead_Caniff (2)
H. PREPARER Preparer of the Sales Disclosure Form Title _Matthew Jarvis Escrow Officer Company Address(number and street, city,state,country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document Dwight M.Smith Brenda L. Smith Address(number and street) Address(number and street) 1497 E.Taftown Rd. 1497 E.Taftown Rd. City,State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America Email Address 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. S' n of lei �f / ;(Sign )of d.rd Printed1ame of Seller Date Signed (mmldd/ Printed Name of Seller _piDate Signed(mm/dd/yyyy) Dwight M. Smith YYYY) Brenda L.Smith 11 024 11/1/2024 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPL Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears onljfeyfance document Jordan Caniff Cali Greer UU 8 2024 Address(number and street) Address(number and str • City, State and City,ZIP Code State and ZIP Code/ SON Dolv 71' Princeton, IN 47670 Princeton, IN 47670 41.'.1TJ • Country Country t' United States of America United States of America J Email Address * ? YES NO CONDITION YES NO CONDITION 4 El ❑ 1. Will this property be the buyer's primary residence? El 0 3. Homestead ; ,r ❑ 0 4. Solar Energy Heating o �4 1+ • s''�`r; 3 ® 0 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: 0 © 5. Wind Power Device ._`' Address(number and street) ❑ RI6. Hydroelectric Power Device n10314 l/ / E El 7. Geothermal Energy Heating or Cooling Device Z. City,State,and ZIP Code County ajo _1s -off- 9oo_o o ( , 640024-- 9PrincGten/ TN LI7610 6Ibsen - -- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete i 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 itransferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) Page 3