Homestead_Ivy H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith Escrow Officer
Company
Address(number and street,city,state,country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Sherry Ivy
Address(number and street) Address(number and street)
I/ 801 Watt 'l y Cf
City,state,and ZIP Code City,state,and ZIP Code
F uC)r-75 v,'l/e , /`>� %2,2
Country Country
US US
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 S�117rn Signature of Seller
(J
Printed Name of Seller Q Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Sherry Ivy ,2
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS- ALL THAT APPLY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it app s n/bn yanc ment
Christopher D. Ivy
Address(number and street) Address(number and street)
502 West Elm Street MqR 7
City,state,and ZIP Code City,state,and ZI de 3 GQ24
Haubstadt, IN 47639 US Country Country vfesONee, "'�—
US crs
Qy/
( )
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
O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 Q 4.Solar Energy Heating or Cooling System
• 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) p O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
lQ-► $ - 10 - coo. 9 LS-o,,
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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