HomeMy WebLinkAboutHomestead_PaceI
H. PREPARER
Preparor of the Sales Disclosure Form
Title
Kris Coon
Escrow Officer
Company
E-mail Address
Telephone Number
Regional Land Title
kris@regional-It.com
(812) 470-1300
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 appears on conveyance document
Seller 2 -- Name as appears on conveyance document
Kinnen L. Scott
Taylor R. Scott
PRd ss um Per and tj��r�s,�j(nurpbejtbera
ds e ��• •�
'ly, 1 , d ZIP C
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Country
Country,V
E-mail Address
Telephone one Number
E-mail Address a ph ne
812 215-9311
l
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my k owledge andbefflef, 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, c9mmits a Level 5 felony.
Signature of Seller
nature of 5e!
�
Printed Name of Seller
Date Signed (mm/dd/yyyy)
PrintetlAfflfjller
D to d (mm/dd/yyyy)
Klnnen L Scott (July
22, 2026
I r
Ju LAY
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS —IDENTIFY ALL THAT A
Buyer 1 — Name as It appears on conveyance document
Buyer 2 — Name as it appears on conveyance document
Ryan Dean Pace
Sylest Tyrin Pace ✓(/
Address (number and street)
Address (number and street)
y
429 N Gibson Street
429 N Gibson Street 1Q
City, State, and ZIP Code
City, State, and ZIP Code 3
o4'C
Princeton, Indiana 47670
Princeton, Indiana 47670 2
Country
Country T),�
UOj
E-mail Address
Telephone Number
E-mail Address
Telephone NuHAr
sylest.pace@gmail.com
(270) 399-5589
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
residence?
❑ ❑ 4. Solar Energy Heating or Cooling System
El® 5. Wind Power Device
9C�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)
316 N Gibson Street
� , (n �1 _ �a�
Cam
o` FX
City, State, ZIP code, and County
Princeton, Indiana 47670 Gibson
,
Under penalties of perjury, 1 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 spouse's
Information, SSN/Driver's LlcenseMlOther Number Is necessary only if a Homestead Deduction is being tiled.)
lure er 1
Signature of B yer 2/Spouse �J
+ ,
Prqpd Legal -ne of Buyer 1 Sign Date (M /DD/YY)
Print�d gal Name of B er 2/Spouse Sign Date (MM/DD/YY)
Ryan Dean Pace July 22, 2026
Sylest`F rin Pace July 22, 2026
Last 5 Digits f Buyer 1 SS Driver' License/ID/Other Number
r
Last 5 DI its of Buyer 2/ Ouse SSN/Drivers LicenselID10ther Number
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