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HomeMy WebLinkAboutHomestead_MaloneH. 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. SELLERS)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Francis Kin Castaneda Minton Jonathan Adam Minton Address (number and street) Address (number and street) 1865 Dunlap Drive 1865 Dunlap Drive City, State, and ZIP Code City, State, and ZIP Code Princeton, IN 47670 Princeton, IN 47670 _ Country Country E-mail Address ibll'? Telephone Number GIs' 13 �y I E-mail Address Telephone Number 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. Signature of Seller Signat9mr7f Seller Printed Name of Selly,Date Signed (mm/ddlyyyy) Pr ed Name 6f Seller Date Signed (mm/dd/yyyy) Francis Kin Castaneda Minton June 30, 2026 Jonathan Adam Minton June 30, 2026 J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY#44JHAT APPLY Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on corn um John Allan Malone Address (number and street) Address (number and street) 1865 Dunlap Drive City, State, and ZIP Code City, State, and ZIP Code U 2026 Princeton, IN 47670 Country Country E-mail Address Telephone Number E-mail Address rvCO N XqDb er Sala a15-155 IJD1ro,R Pursuant to IC 6-1.1-12.44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION ❑ 3. Homestead ❑1. Will this property be the buyer's primary re idence? ❑ 4. Solar Energy Heating or Cooling System ❑ 5. Wind Power Device 2. Does the buyer have a homestead to be vacated ❑ for this residence? If yes, provide address: ❑ 6. Hydroelectric Power Device ❑ r2/7. Geothermal Energy Heating or Cooling Device Address (number and street) 6,Lo _, 05 _ 3 �) _,300 - 00 I , Ut' City, State, ZIP rode, 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 6-1.1-6.5. 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 Infonnatlon, SSN/Drlver's Licensel/D/Other Number is necessary only if a Homestead Deduction Is being filed.) 2SignSig ature of uyer 1 1— ature of Buyer 2/Spouse rinted Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DDIM John Allan Malone June 30, 2026 June 30, 2026 Last 5 Digits of Buyer 1 SSN/Driver's Licensel1D/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number 717P 7-5-035 Page 3