Homestead_Teeters (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Rhett Gonterman
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville,IN 47708
I. SELLER(S)/GRANTOR(s)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Patricia D.Vanoven a/k/a Patricia Vanoven �}�1
Address(number and street) Address(number and�1e/ty
1210 S Carol Ave CC
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670 �j0
Country. Country
us �`T46
0 '},
who knowingly.1 • :tr.: clonally falsifies the value of transferred
real property,or omits or falsifies any.Information required to be provided,commits a Level
Signs of Seller 5lgnature of Seller �/". -
'��
Printed Name of Ilse ea/k/ Patricia Date Signed(mm/dd/yyyy). Printed Name of Seller Date Signed(mm/dd/yyyy)
Patricia D.Vanoven Vanoven ,'1/43-- a ezr ••-
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
Howard M.Teeters„Jr. Deborah F.Teeters
Address(number and street) Address(numberand street)
1210 S Carol Ave 1210 S Carol Ave -
Clty,State,and ZIP Code City,State,and ZIP Code--" •'
Princeton,IN 47670 Princeton,IN 47670 .-
Country Country
US US .
Email Address
YES NO CONDITION YES NO -CONDITION
® ❑ 1.Will this property be the buyer's primary ( 0 3`Homestead
residence? 0 ® 4.Solar-Energy Heating or Cooling System
❑ 110 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code ' County X
-1 Z_ I`Q-1 Q3 C oo! fps -024
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
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