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Homestead_Baker (6)
H. PREPARER j • Preparer of the Sales!Disclosure Form Title Matthew Jarvis i Escrow Officer Company Address(number andlstreet, city,state,country,and ZIP code) 605 SE Martin LutherjKing 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 James Roberts j Address(number and`street) Address(number and street) 406 S 1st St. i City, State and ZIP Code City,State and ZIP Code Princeton, IN 47670 Country 1 Country FILEUnited States of America Email Address i of my knowledge and belief,is true;caOO4t,and complete as required by law,and Is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and intention- , falsifies the value oYtransferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. ` �Signat of Se r '2Z-- Signature of SellerasON COU „j/�vj Print Name of S er; Date Signed(mm/dd/ Printed Name of Seller �aUOr FJDate Signed(mm/dd/yyyy) David James Roberts i MY) 6/13/2025 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 Timothy Baker ; - Alycia Baker Address(number and street) Address(number and street) 5902 E 650 N i 5902 E 650 N City,State and ZIP Code City,State and ZIP Code Hazleton, IN 47640 : i ' Hazleton, IN 47640 Country ` Country United States of America - YES NO CONDITION 21 ❑ 1. Will this property be the buyer's primary residence? Er' 0 3. Homestead • 0 . A 2. Does the buyer have a homestead to be vacated for 0 ® 4. Solar'Energy Heating or° so let4 s k this residence? If yes,provide address: 0 ® 5. Wind Power Device +� Address(number and street) 0 B 6. Hydroelectric Power Device s y 0 © 7. Geothermal Energy Heating or Cooling B"evice City, State,and ZIP Code County i a6/a-b/1-39 —oozi-. 18-6 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 - property,or omits or falsifies any Information required-to be provided,commits a Level 5 felony.(Note:Both spouse's information,SSN/Driver's