Homestead_Thurston H. PREPARER
Preporerof the Sales Disclosure Form Title
Escrow eorow Officer
� � � cor
Company
Address(number and street, oity,state, country and ZIP code)
605 SE Martin Luther King JrBoulevard, Evansville IN United States ofAmerica 47713
|. SELLER(S)/GRANT0R(S)
Seller -Name asit appears on conveyance document Seller 2-Name as it appears on conveyance document
Anthony Chrio(offerThurston
rnoo(number and street) Address(number and street)
/ ` 147 {�
' _-/~~ �-
� State and ZIP Code City, State and ZIP Code
/ /��� &_ �/ ���/]��' �// r � {/c�'m^«/l . �'�� '7 / �r*~ .
Country Country
E-mailddreoa
�� ' \
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,io true,correct and complete ao
required by law,and|s prepared<n accordance with|C 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 5felony.
' �Sellerr�
SignotureufSeUor
NNo�Sell
o ^ D Printed Name ofSeller Date signed (mmNd/yyyy
Anthony ChhotofferThurston //3
J. BUYER(S)/QRA |TEE(S)-APpLICAT|ON F'fR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buvf3r appears nn conveyance document Buyer 2-Name ooi\appears on conveyance douument
- K0o|arieG.Th
`~Addreon� —�� oV Addreoo �umberendo�V TLED
3O48, Hart St.
City, State and ZIP Code City, State and ZIP Code APR 52023
Princeton, IN 47670 .
Country Country AIA~'^ ~~°/��
United StaieoofAmerica G/Ra,ON ~~'
GQUNTYAUD|��R
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION ~.
E9 O 1. Will this property ba the buyer's primary residence? z O 3. Homoo!ebd
O Rl 4, Solar Energy Heating or Cooling ~
O 2 2. Does the buyer have o homestead tobe vacated for O EI 5. yyindPower Device `~t .^�@m�
this residence? If yes,provide ~
' O E8 G. Hydroelectric Power Device
Address(number and street) O Z 7, Geothermal Energy Heating or Cooling Devi
��
City,State,ZIP c ode,and county 7 ~30A. Oa-4, 11 7 - d ^& ?