Homestead_Leemarvin i, H. PREPARER
Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent
Company
Address (number and street, city, state, country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708
I. SEl_LER(S)/GRANTOR(S)
Seller 1 - Name as it appeap.,on conveyance document Seller 2 - ame as appears on convepance docu
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r NA dress (number and street) Address (nu ber and street) U V 0 n
403 N Gibson St 403 N Gibson St 2025
City, State, and ZIP Code I City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country GIQSON COUNT),Q
US - - - — - - ( US Nn'q(/df�
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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. I
Signature� of Seller S nature of e
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Pnnted Name of Seller Date Signed (mmldd/yyyy) Printed me of Seller Date Signed (mm/dd/yyyy)
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J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX dEDUCTIONS — IDENTIFY ALL THAT APPLY
I
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance document
Sharla Leemarvin ' Junior Ruwaath
Address (number and street) Address (number and street)
403 N Gibson St Same
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 ,
Country Country
US US _
YES NO CONDITION YES NO CONDITION
O 1. Will this property be the buyer's primary O 3. Homestead
01) residence? 0 ® 4. Solar Energy Heating or Cooling System
r
I 2. Does the buyer have a homestead to oe vacated 5. Wind Power Device
O , for this residence? If yes, provide address:
O 56 6. Hydroelectric Power Device
Address (number and street) 0 a 7. Geothermal Energy Heating or Cooling Device i
City, State. and ZIP Code County '�
40, e . __,,