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Homestead_Rumple 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 James A. Peek Shirley D. Peek Address(number and street) Address (number and street) 507 N West St. 507 N West St. 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. `si•\ture of Sell W.... na e f Sellerill r\NNSLe-- f,c P--e-8 Pri to Name of Seller Date Signed (mm/dd/ Printed Name o eller Date Signed(mm/dd/yyyy) Jam- A. Peek YYYY) Shirley D. Pee 11/15/2024 11/15/2024 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 appear a ance document Heath Rumple Address(number and street) Address(number and street) EL) 2346 S Old Us Highway 41 City,State and ZIP Code City, State and ZIP Code N0V 1 9 20 Princeton, IN 47670 24 Country Country G/BSs CO,.j United States of America CODA, 'l �' Email Address Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those th- r'..ly: YES NO CONDITION YES NO CONDITION IZ ❑ 1. Will this property be the buyer's primary residence? IR! 0 3. Homestead Alp 0 i 2. Does the buyer have a homestead to be vacated for ❑ © 4. Solar Energy Heating or Cooling +s;' . this residence? If yes, provide address: 0 I✓< 5. Wind Power Device Address(number and street) ❑ RI 6. Hydroelectric Power Device 0 RI 7. Geothermal Energy Heating or Cooling Device City,State, and ZIP Code County ( Cr/d-d lif°a-606-a 57)A--6$7,ge * 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 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.(Note:Both spouse's information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) ..,