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HomeMy WebLinkAboutHomestead_CareryH. PREPARER Preparer of the Sales Disclosure Form Title Jamie E. Smith Escrow Officer Company — E-mail Address Telephone Number True Title Service, LLC jamie@truetitlein.com (812) 453-2559 Address (number and street, city, state, country, and ZIP Code) 101 Plaza East Boulevard, Suite 102, Evansville, IN 47715 i. SELLER(S)/GRANTOR(S) Seller 1- Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Ceth Van Matre Address (number and street) Address (number and street) 334 S Jackson Street City, State, and ZiP Code City, State, and ZIP Code Oakland City, IN 47660 Country Country �J® E-mail Address Telephone Number E-mail Address Tel p ,tVumber cethv123@gmail.com (812) 553-5635 Gl Under penalties of perjury, i hereby certify this Sales Disclosure, to the best of my knowledge and be ®t,��?6 r orre4 and complete as required by law, and Is prepared In accordance with IC 6-1.1-5.5. A person who knowingly and intentionafi I alue of transferred real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony. Siggat r of Seller Signature of Seller l r0 MF -r)_F.Mk Fi Printed Name of Seller Date Signed (mmlddlyyyy) Printed Name of Seller Date Signed (mmlddlyyyy) Ceth Van Matre April 16, 2026 April 16, 2026 J. BUYER(S)IGRANTEE(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 Katie Carery Address (number and street) Address (number and street) 334 S Jackson Street City, State, and ZIP Code City, State, and ZIP Code Oakland City, IN 47660 Country Country E-mail Address Telephone Number E-mail Address Telephone Number kitty_1992@live.com 812 635-1768 Pursuant to IC 6-1.142.44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply; YES NO CONDITION YES NO CONDITION tR ❑ 3. Homestead 1. Will this property be the buyer's primary ❑ 4. Solar Energy Heating or Cooling System ❑ 5, Wind Power Device _residence? 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: ❑ 6. Hydroelectric Power Device ❑ 7. Geothermal Energy Heating or Cooling Device Address (number and street) �1/ _ 1 Li _ _ �l — 0,0 1 C)0,71 City, State, ZIP code, and County 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 spouso's information, SSM/Driver's Lice_nseAD/Other Mumberis necessary oMyifa Homestead Deduction is being filed.) Sig ture of Buyer Signature of Buyer 2/Spouse / Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Katie Carery April 16, 2026 April 16, 2026 Last 5 Digits of Buyer S /Driver's LicensellD/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number 3, Page 3