Homestead_Douglas , .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)
Se114.1-Name as it appears on conveyance document Seller 2-Name as It appears on conveyance document
Paul Edward Cardinal.and Jeanetta Ida Cardinal Joint Revocable Paul Edward Cardinal and Jeanetta Ida Cardinal Joint Revocable
Trust dated May 4, 1993. Trust dated May 4 1993
' Address(number and street) Address(number and street)
51.6 S Oth Ave , 516 S 9th Ave
- ' City,State and ZIP Code City,State and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
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 faisl a Information required to be provided,commits a Level 5 felony.
N, Ignatur of
Signature of S e et) 001-cl,autehallu4/tee--- 4
I
Printed Name of Sailer Date Signed(mm/dd/ Printed Nam f Seller J1Date Signed(mm/dd/yyyy)
Paul Edward Cardinal,Trustee yyyy) Jeanetta Ida Cardinal,Trustee, by Paul /1 2.025
5/13/2025 Edward Cardinal,her attorney-in-fact eltwraletleVatc:i £
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 doc f '),
LaDonna S.Douglas -
, ugrie .ilf ,
Address(number and street) Address(number and str
205 W.Locust St. , .•,.,:rtp,,,,
.
. .,
--- III • ,...,
-City,State and ZIP Code City,State and ZIP Code •'.'
Fort Branch, IN 47648
MAY 2 7
,...0
, Country Country i 2025020
6 United States of America
1 "Email Address
certain deductions.Identify all ot iltigahltpply:
(V) YES NO CONDITION YES NO CONDITION
• El , 0 1. Will this property be the buyer's primary residence? 0 El 3. Homestead
O re 0 2. Does the buyer have a homestead to be vacated for 0 El 4. Solar Energy-Heating or Cooling System
0 , this residence? If yes,provide address: 0 El 5. Wind Power Device
/
D
--* Address(number and street)
El 0 6. Hydroelectric Power Device
lAc 1.1) 40014+ 6+1 0 0 7. Geothermal Energy Heating or Cooling Device
—1- a :
I City,State,and ZIP Code County .
('-2 6rf &pencil rm /Iva 6it642,e% 0q4-.23-66-200 -440-ifiv 9
t, r
gx, 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 transferred real
i property,or omits-or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's Information,SSN/Driver's
_..or
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