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Homestead_Jarboe
H. PREPARER _ _ .— _ _ _ ______ _ _ _ Preparer of the Sales Disclosure Form Title Milton Nomien Settlement Agent Company Address(number and street,city,state,country,and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 I. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on ance document Carolyn S.Loveless Revocable Trust dated May 7,2014 48.iiAddress(number and street) Address(number and street) 310 N Wilson Ave City,State,and ZIP Code City,State.and ZIP Code FF Princeton,IN 47670 9 Country Country 4 202S US • Email Address my knowledge and belief, 'd _;,:��ct,and complete as required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fa a value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signature Seller ' Signature of Seller Printed Name Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/ddlyyyy) Carolyn Loveless, �9,' i[j c,)0.)S 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 Jacob Jon Jarboe Ashley Segovia Address(number and street) Address(number and street) City,State,and ZIP Code City,State,and ZIP Code iz1NazroAJ ltJ L17(670 • Country Country QUS US Email Address I 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: ((>() YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary Gil 3.Homestead w O residence? 0 ® 4.Solar Energy Heating or Cooling System Q 2.Does the buyer have a homestead to be vacated 0 ( 5.Wind Power Device I for this residence?If yes,provide address: O ail 6.Hydroelectric Power Device cv Address(number and street) _ 0 ® T.Geothermal Energy Heating or Cooling Device i Sac N. (4,t S n: T I-- City,State,and ZIP Code County Q f-\ 2_- CA ^Zo3 -op I . 6 _ ©i s k 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 Page 3 �F} :, r;