HomeMy WebLinkAboutHomestead_Hayden (9) H. PREPARER .__. ��
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address (number and street. city, state, country. and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville. IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document 1 Seller 2 - Name as appears on core rice c ent
Kara L. Moyer
1) .,
Address (number and street) Address (number and street)
315 South Gibson Street
City. State, and ZIP Code City. State, and ZIP Code F�� 2
Princeton, IN 47670 ��26
Country Country G!
1- 38
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 prope ', or omits or falsifies any information required to be provided, commits a Level 5 felony.
. ,iignatu e Seller Signature of Seller
P (ILI& -,
Printed Na e of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
Kara L Moyer February 4, 2026 February 4, 2026
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
Christian R. Hayden Mary Hayden_
Address (number and street) Address (number and street)
315 South Gibson Street 315 South Gibson Street
City. State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
E-mail Address
1. Will this property be the buyer's primary N. El 3. Homestead
❑ residence? 4. Solar EnergyHeatingor CoolingSystem
�] �] Y
CI
2. Does the buyer have a homestead to be vacated ❑ Ecl
❑ y5. Wind Power Device tri
for this residence? If yes, provide address: 6. H droelectric Power Device
-.4. **4 IIP
~Address (number and street) I [] ® 7. Geothermal Energy Heating or Cooling Device
City. State, ZIP code. and County f
' -1L — 0 7 —40 i - 0 C 1 3 t--\ ) x'
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
Page 3