HomeMy WebLinkAboutHomestead_Luker H. PREPARER
I
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
Charles M, Frederick II Jana K. Frederick
II
Address (number and street) Address (number andstreet)
2109 N Carithers Rd. 2109 N Carithers Rd.
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
Email Address
Under penalties of perjury, I hereby certify 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.
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Printed Name of Sel er Date Signed (mm/dd/ Printe ame of Seller Date Signed (mm/ d yy)
Charles M. Frederick II YYYY) Jana . Frederick 3e40,26
3/13/2026
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 ��
Pp Y y on conveyanc d cu ent v
Jacob A. Luker Christa L. Luker
oo
Address (number and street) Address (number and street) 0"'"")
UP
227E Monroe Ave. 227E Monroe Ave} p'1 .< U
City, State and ZIP Code City, State and ZIPI Code 2
Chandler, IN 47610 Chandler, IN 476 0 - E
(-i-)
Country Country
United States of America United States of America
Email Address
YES NO CONDITION YES NO CONDITION
rZ ❑ 1 . Will this property be the buyer's primary residence? 0 0 3. Homestead
I 0 2. Does the buyer have a homestead to be vacated for 0 RI 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: 0 Q 5. Wind Power Device
Address (number and street) 0 El6. Hidroelectric Power Device
c /I)7 , foe SI
• 0 l 7. Geothermal Energy Heating or Cooling Device
City, State. and ZIP Code County
CAandi Ti/ 417 6 /0 Le.rrkAA iD 42 - O5- ,_ t co - Q o _° Carl
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