Homestead_Johnson (29) H. PREPARER
Preparer a'the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on con ey jc ocu
Guardianship of Person and Estate of Steven R. Martin ' �Address(number and street) Address(number and street)
( 904 S Robin St J,q
9(St 11-0 )10 S • Princeton, IN 47G70 N ,S
City.State.an ZIP Code City.State,and ZIP Co= 20a-
Cbuntry C'�1 . (� t *,-)0 Country /aS%CoC . ^
E-mail Address
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 ljJ Signature of Seller
!!
Printed Na Tie of Seller Date Sfgi$Ed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Tracy Featlans,Guardian January 2, 2025 January 2, 2025
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
Gary Michael Johnson Megan Alexandra Burton
Address(number and street) Address(number and street)
904 S Rcbin Street 904 S Robin Street Charg:0
)010/'
City,State.and ZIP Code City,State,and ZIP Code
Princetor, IN 47670-2362 Princeton, IN 47670-2362
Country Country
E-mail Address
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
f �-1 1.Will this property be the buyer's primary la.-- ID 3.Homestead
fit' residence? 4.Solar Energy Heating or Cooling System
-�,'2 Does the buyer have a homestead to be vacated ❑ Err 5.Wind Power Device
❑ L I for this residence? If yes,provide address: 0 1::1•- 6.Hydroelectric Power Device
Address(number and street) 0 [ K 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 7/ 1'L— `Q (QZ- 00 q-tk" O -'E`in
Under per skies 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
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