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Homestead_Key (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 David Sandusky Donna Sandusky Address (number and street) Address (number and street) 2008 Brumfield 2008 Brumfield City,State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America Email Address 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. .'gnat re ol._•Qler Sig tune of Seller cl -j7 ^ Printed Name Seller Date Signed (mm/dd/ Printed Name Seller Date Signed(mm/dd/yyyy) David Sandusky YYYY) _ Donna Sandusky zt'- -o 'b26 . 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 c veyyi doc Ross Key Shannon Key Address (number and street) Address(number and street) 5329 N 550E 5329 N 550E APR City, State and ZIP Code City, State and ZIP Code , 2u�5 ' f— Patoka, IN 47666 Patoka, IN 47666 U/B s, (/ 3 Country - Country SO/y Q I United States of America United States of America ©UNT}- for certain deductions.Identify all of those that apply: 0 YES NO CONDITION YES NO CONDITION 1 © 0 1. Will this property be the buyer's primary residence? , 0 0 3. Homestead J ,. ill T El ❑ 2. Does the buyer have a homestead to be vacated for ❑ © 4. Solar Energy Heating or Cooli G . rJ this residence? If yes, provide address: 0 El 5. Wind Power Device � Address (number and street) ❑ RI 6. Hydroelectric Power Device rr 5329 N 550 E ❑ © 7. Geothermal Energy Heating or Cooling Devic-'f 1 (i City, State,and ZIP Code Count / '/ © Patoka, IN 47666 rj��.IS a6^ I/ f g- /0 3-©e9 3 -cpY- -U ;:Q 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 I