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Homestead_Snyder (10)
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) P./4 Seller 1 -Name as It appears on conveyance document Seller 2-Name as it appears on conveyance Harry Seel Debra Seel Address(number and street) Address(number and street) Dec f 411 WOakSt. 411 WOakSt. " 2O City, State and ZIP Code City, State and ZIP Code G/g� Princeton, IN 47670 PrincetoCountryn, IN 47670 SONG©UQ�/ Country Imo' United States of America United States of America AVQ ze ITpq Email Address >( 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 )6ign r of Seller G n Printed Name of Se er .4 Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) yyyy) Debra Seel 12/5/2024 Harry Seel 12/5/2024 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 Jaysa Snyder Address(number and street) Address (number and street) 407 E Old Petersburg Rd. City,State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Country Country United States of America Email Address for certain deductions.Identify all of those that • YES NO CONDITION YES NO CONDITION 4004410> El 0 1. Will this property be the buyer's primary residence? © 0 3. Homestead 0 P 2. Does the buyer have a homestead to be vacated for 0 © 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: ❑ El 5. Wind Power Device Address(number and street) CI El 6. Hydroelectric Power Device El © 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County AA2_01-101-oo1-s-c3 —om . 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 3