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HomeMy WebLinkAboutHomestead_Bradley (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 Jason Rogers Christine Rogers Address (number and street) Address (number and street) 155E 795E 155E 795 E City. State and ZIP Code City, State and ZIP Code Ft Branch, IN 47648 Ft Branch, IN 47648 Country Country United States of America United States of America Email Address by la nd is prepared in accordan ' with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred real property, or om>oF-faisifies any information re` wire to be provided, commits a Level 5 felony. i ature of Seller / -- -- Signature of eller Pr ed Name of Se Date Signed (mm/dd/ Printed Name of Seller -2- Date Signed (mm/dd/yyyy) Jason gels ---- YYYY) Christine Rogers 8/28/2025 8/28/2025 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 c n y e document Nicole L. Bradley Nicholas Bradley Address (number and street) Address (number and street) 602 W Emerson St 602 W Emerson St `sep --4,6 City, State and ZIP Code City. State and ZIP C. Princeton, IN 47670 Princeton, IN 4767( j6, 0(9,5 (--- ' Country Country NCO Q United States of America United States of America �/iy Email Address Telephone Number Email Address -90" � Telephone Number �O (812) 664-2270 O 812) 664-2270 NI 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 - 0 ❑ 1 . Will this property be the buyer's primary residence? u 0 3. Homestead ''a ❑ 2. Does the buyer have a homestead to be vacated for ❑ ❑ 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: 0 El 5. Wind Power Device 0 El 6. Hydroelectric Power Device Address (number and street) �3C Erylaf- 1 ❑ El 7. Geothermal Energy Heating or Cooling Device O ,sue 5 . L City, State. and ZIP Code County P r `1lct n I Li7f1 71 6 e bson b `�4 -l� -z,03 —ool . 2CL� - 62 I � � � N nd belief is true, correct, an plot© as r� Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge a 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 License/ID/Other Number is necessary if a Homestead Deduction is being filed.) Page 3