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Homestead_Perez Jr 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 o o v a document Nancy Sui Address(number and street) Address(number and street) 738 E State St iz-en cr f - ,4t) City,State and ZIP Code City, State and ZIP Co /�Q Princeton, IN 47670 �'/fie ?S Country -Yo `re.to- CP United tates of America CountryN O `v Email Address 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. vSignatur f Seller , Signature of Seller !'Printed N m of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) Nancy Sui yyyy) 1/22/2025 J. BUYER(S)IGRANTEE(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 Federico Perez,Jr. Kristi Nixon Address(number and street) Address(number and street) yfK ,. 302 S.4th St. 302 S.4th St. < ' City, State and ZIP Code City, State and ZIP Code ip �f Princeton, IN' 47670 Princeton, IN 47670 "x.s" , Country Country {i United States of America United States of America Email Address YES NO CONDITION - - YES NO CONDITION El ❑ 1. Will this property be the buyer's primary residence? El 0 3. Homestead ❑ fl'2. Does the buyer have a homestead to be vacated for ❑ El 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: ❑ IZI 5, Wind Power Device Address(number and street) 0 El 6. Hydroelectric Power Device ❑ El 7. Geothermal Energy Heating or Cooling Device City, State,and ZIP Code County N-1 2.-0•1- 2L- 001 )) o23 . 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