Homestead_Goforth 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
Abner Homes and Contracting LLC, an Indiana Limited Liability
Company
Address (number and street) Address (number and street)
8572 W SR 65
City, State and ZIP Code City, State and ZIP Code
ILtr /.....\-
Hazleton, IN 47640 --Lii
.
Country Country �OV
United States of America 4 5
Email Address
of my knowledge and be1Tgf{ a Fc c act, and com lete as required
Under penalties of penury, I hereby property,r.ty,
by law, and is prepa
red in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies ansferred real roe or
omits or falsifies any information required to be provided, commits a Level 5 felony. 00/TOR
Sig ures r �_
Signature of Seller
P1 '�
rinted Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Derek S. Abner, Manager YYYY)
11/18/2025
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
Jessi L. Goforth William J. Huff
Address (number and street)
Address (number and street)
364 S 325 W 520 W Christian St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Arte%
p ❑ f). Will this property be the buyer's primary residence? ❑ Cl 3. Homestead
❑ IZ 4. Solar Energy Heating or Cooi Sy' e
, 0 Rif 2. Does the buyer have a homestead to be vacated for 0 5.El Wind Power Device
this residence? If yes, provide address:
44/111, je,
❑ J 6. Hydroelectric Power Device
Address (number and street) ❑ p 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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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
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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