Homestead_Johnson (2) N. PREPARER w
Preparer of tt�e Sales Disclosure Form - ' Title - f - - -
Colleen Dunn Settlement Agent
Comoany
Address (nurrber and street, city, state, country, and ZIP Code)
409 Man St eet, Vincennes, IN 47591
1. SELLER(S)/GRANTOR(S) -
Seller 1 - Name as it appears on conveyance document Seller 2-Name, �ppe n oe document
Penny Stevens
Address (number and street) Address (number and steel)" ,µ�
523 S. 91-i Avenue
City, Slate, and ZIP Code City, State, and P Code5
,0
Haubstadt, IN 47639 % 'Jr2
County Country
!�C ��
US Q/QS
best of my knowledge and bel'id4 orrect, 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, cr omits or falsifies any information required to be provided, commits a Level 5 felony.
nelu of Seller I Signature of Seller
1 .
Printed Name of Seller`- Date Signed (mm/ddfyyyy) Printed Name of Seller Date Signed mrnld '
( C/YY7IY)
Penny Stevens 08/9/2025 08129/2025
J. BUYER(S)IGRANTEE(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
Roslyn A. Johnson Trent F,_Johnson
Address (number and street) Address (number and street)
209 Beech Street 209 Beech Street
City, State, and ZIP Code City, State. and ZIP Code
Vincennes, IN 47591 Vincennes, IN 47591
Country Country ,
US US
Email Address
YES NO CONDITION YES NO CONDITION
Q 1. Will this property be the buyer's primary C 0 3. Homestead
residence? O ® 4. Solar Energy Heating or Coollno System
�( 0 ' Does the buyer have a homestead to be vacated 0 a 5. Wind Power Device
`� for this residence? If yes, provide address: O ( :' 6. Hydroelectric Power Device
Address Ver and TO.jeet) - p 2 7. Geothermal Energy Heating or Cooling Device
CA_ b ee ci
City. Stale, anC.,Z1P Cede County W).....2_ ,......06 ..... ,-2.100,_,0 -0 ....) s F ,s?r..., "F-Nc
Page 3
CO 'yK
1