Homestead_Gardner (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Emily A. Gardner
Aalress(num1Qer and street) Address(number and street)
ma 0,3c) Lo
cAy,State,and ZIP Code City,State,and ZIP Code
VDIAJ 47(37
Country Country
USA
)
Seller
• ix-7
'Ffifiled Name tif Seller Dale Signed(mmIddlyyyy) Printed Name of Seller ate Signed(mm/dd/yyyy)
Emily A.Gardner 05/15id03%3
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL T Plt)(
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance doc e t
Gregory G. Gardner
Address(number and street) Address(number and street
524 West Brummitt Street
City,State,and ZIP Code City,State,and ZIP Code so
4/—
Owensville, IN 47665
Country Country
USA •
E-mail Address
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
El 1 residence?-1 1.Will this property be the buyer's primary El 3.Homestead
p 4.Solar Energy Heating or Cooling System
5.Wind Power Device
I 2. Does the buyer have a homestead to be vacated 1=1 1=1
L,N for this residence? If yes,provide address: Ej 6.Hydroelectric Power Device
Address(number and street) El 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 1 '\ i"•-11r.(02'.- CO°. 10 2-
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