Homestead_Sparacino (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Angela Moers President
Company
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 conveyance document
Charles T. Sparacino
Address(number and street) � f l� �+ Address(number and street)
606 E 4 [!
City, ZIP Code
City,State and ZIP Code
�./ nSv
fie. 4/ 716
Country Country
(OA;/d 5i& c et- /% tIe
Email Address
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.
Sign a of Seller Signature of Seller
Printed Name o Seller Date Signed(mm/dd/yyyy) Printed Name of Seller `4.1"44to Signed(mm/dd/yyyy)
Charles T. Sparacino 0 31 zv 110-4 "
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APP,FLA6,p
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on c`dna c document
Calogero Sparacino p2.5.
Address(number and street) Address(number erg/
606 E Clark St. O410
OU'2 ,.
City,State and ZIP Code City,State and ZIP Code
?)-
Owensville, IN 47665
Country Country
United States of America
Email Address
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
El 0 1. Will this property be the buyer's primary residence? El 0 3. Homestead
0 El 2. Does the buyer have a homestead to be vacated for this 0 El 4. Solar Energy Heating or Cooling System
residence? If yes,provide address: ❑, d 5. Wind Power Device
Address(number and street) 0 El6. Hydroelectric Power Device
0 El 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 2--b_` }t .-oo o , 60 's —o2.2—
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