HomeMy WebLinkAboutHomestead_HolmesH. PREPARER
Preparer of the Sales Disclosure Form
Title
Matthew Jarvis
Escrow Officer
Company
E-mail address
Telephone number
Southwestern Indiana Land Title
matt@swinland.com
(812) 425-0055
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 co&ey c doc t
Jay P. Stevens
Debra J. Stevens
Address (number and street)
Address (number and street)
1076 E 350 S
1076 E 350 S s�p
City, State and ZIP Code
City, State and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country SON
United States of America
United States of America pOVN>ly`
Email Address
Telephone Number
Email Address
.41
Tele � Number
�l2, G7� 17
i ? f2-710-1n950
.. -
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 Sell
S' nature�of Sell
Printed Name o eller
Date Signed (mm/dd/
Printed. Name of eller Date Signed (mm/dd/yyyy)
Jay P. Stevens
yyyy)
Debra J. Stevens 8/28/2026
8/28/2026
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
Sarah E. Holmes
Christopher K. Holmes
Address (number and street)
Address (number and street)
4984 E 200 N
4984 E 200 N
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
Telephone Number
Email Address
Telephone Number
sarahs2009@hotmail.com
(812) 664-6229
grandpriX_GT-2004@hotmail.com
(618) 240-1838
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
0 ❑ 1. Will this property be the buyer's primary residence?
0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ 0 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ 0' . 7. Geothermal Energy Heating or Cooling Device
a� C�— L� �5 W r--, r)
City, State, and ZIP Code 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 spouses information, SSN/Drivers
LicenselPlOther Number is necessary if a Homestead Deduction is being filed.)
S' na re f ye ,1
ign t e f Bu er 2/S
zk�z
Printed Legal Name of Buyer 1 ign ate (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Sarah E. Holmes 8/28/2026
Christopher K. Holmes 8/28/2026
Last 5 Digit of uyer 1 SSN/Driver's License/ID/Other Number
SN:
ast 5 Digits of Buyer 2/Spouse SSN/Driver's 'cense/ID/Other Number
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