Homestead_Bachman H. PREPARER
-
Preparer of the Sales Disclosure Form Title
Kelly Norton Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, 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
CHRISTOPHER M. COWAN
Address(number and street) Address(number and street)
1004 S Hall St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country
Country
E-mail address _�'
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.
ignature of Seller Signature of Seller
rinte Name of el r Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)CHRISTOPHER M.COWAN January 22,2021 January 22,2021
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
ZACHARY M.BACHMAN
Address(number and street) Address(number and street)
1004 S Hall St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
E-mail 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 apple H
YES NO
NO CONDITION YEB' NO CONDITION Z of
❑ 1.Will thisproperty be the buyer's primaryl�'E7r ❑ 3.Homestead or resi ence? ee��� tv
0 4.Solar Energy Heating or Cooling Syst " d
❑ 2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device
for this residence?If yes,provide address: El6.Hydroelectric Power Device
Address(number and street) n
❑ CO
7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County
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