Homestead_Robbins (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyanc)�pcU t
Lindsey Hartley �
Address(number and street) Address(number and street)
107 South Broadview Circle Drive 4'.7 :
City,State,and ZIP Code City,State,and ZIP Code i44/ ar
Princeton, IN 47670 c 3
Country Country ?,Oa•
USA 0/e
best of my knowledge and belief,is true,cot yrtiVn
plete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies theg. transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
r
Printed Name-cif-Teller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/ddlyyyy)
Lindsey Hartley December 31, 2024 December 31, 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
Jason Robbins Tara L. Gatewood
Address(number and street) Address(number and street)
1217 South Seminary Street 1217 South Seminary Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
USA USA
YES NO CONDITION YES NO CONDITION
—I 1.Will this property be the buyer's primary ❑X ❑ 3. Homestead
%� i residence? ❑ 0 4.Solar Energy Heatin.car . ' ,.y„tern
2.Does the buyer have a homestead to be vacated ❑ ❑X 5.Wind Power Device rir "4a,
I I for this residence?If yes,provide address: ❑ 0 6.Hydroelectric Power Device
Address(number and street) ❑ OX 7.Geothermal Energy Heating or Cooling evice
City.
UState,ZIP code,and County
cSA('Q:h IS 3K) \1 (- , V.--_Y.���., 6 Z-� - (8 -1k3--c0o2 . g2-2-b2.3 .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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