Homestead_Brugger (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
Daniel Wright
Address(number and street) Address(number and street) p
4 t
3054E 175 S
City,State and ZIP Code City, State and ZIP Code
Et)
Princeton, IN 47670
Country Country 18
United States of America 4U24
Email Address
my knowledge and belief,is truWf ram , 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?oed real property,or
omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of siler(,4 j, Signature of Seller
Printed Name of Seller !! Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy)
Daniel Wright yyyy)
12/9/2024
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
Rodney M.Brugger Vanessa K. Lowe
Address(number and street) Address(number and street)
1474 N. Old US Hwy.41 1474 N. Old US Hwy.41
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
c I a +•
Country Country ,.
United States of America United States of America
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SI� Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
V YES NO CONDITION YES NO CONDITION
r• Eel 0 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead
3 I1' 0 2. Does the buyer have a homestead to be vacated for ❑ El 4. Solar Energy Heating or Cooling System
Dthis residence? If yes, provide address: 0 El 5. Wind Power Device
Address(number and street) ❑ El 6. Hydroelectric Power Device
�&/7L/ N OLD RI aitiitif y I0 El 7. Geothermal Energy Heating or Cooling Device
l City, State,and ZIP Code County
? Pl?rNGFrog ,Wry 147SM 6.1-8$ON
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
.Ip 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
^d transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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