Homestead_Alvarez _H. PREPARER - — — - 1
Preparer of the Sales Disclosure Form Title
Kris L Coon Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code) _ __ ' -
4600 Washington Avenue, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it annears on conveyance document Seller 2— Name as appears on co e ocument
Sidney C. E D)t,
Address (number and street) Address (number and street)
L4i-4 ()_ \--.0,`CC\fl SIL kb .
C- ity,State. and ZIP Code City, State, and ZIP Code J�
W‘ ); .\-\ \ u ( NN 02
Country L Countr
y 2026
best of my knowledge and belief, is t e complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifie ue of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
nat re of Sclle '~ Signature of Seller
Pri Nam Seller ' Date Signed /mm/dd/yvw) Printed Name of Seller Cate Signed (rnrn/ddlyyyy)
t Sidney C E4 e • 10)- I el '.}s ]_ November 5, 2025
J. BUYER(S)/ RANTEE(S) — • - •LICATION 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
Luz Astrid Quintero Alvarez
Address (number and street) Address (number and street)
1213 S Darwin Ave
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670
Country Country
United States of America
Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
n 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
U Elresidence? n Q 4. Solar Energy Heating or Coolie System
❑ ;Ri2. Does the buyer have a homestead to be vacated I ❑ ❑X 5. Wind Power Device
for this residence? If yes, provide address: } Le.
[] ❑X 6. Hydroelectric Power Device ,
Address (number and street) ' ri 07. Geothermal Energy Heating or Cooling Device i
_ I
City, State, ZIP code, and County — 2.0 ii -00 ii . 19.0 ,-ozy
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