Homestead_Young H. PREPARER
Preparer of the Sales Disclosure Form Tityi
Tasha Garcia Starks C L �� (�j (��"
Company
Address(number and street,city,state,country,and ZIP Code)
5231 Oak Grove Road,Suite A,Evansville,IN 47715
I. SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document
Jarod M.White Seller 2—Name as appears on conveyance document
Address(number and street)
400 E.Locust Apt 1 Address(number and street)
City,state,and ZIP Code
Fort Branch,IN 47648 City,state,and ZIP Code
Country Country
United States of America United States of America
Under penalties of perjury, I hereby certify 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 transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Se ignatyre 5 eller �-_ Signature of Seller
P ted Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jarod M.White / (—a
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 appears on conveyance document
Jennifer L.Young
Address(number and street) Address(number and street)
101 N.First Street
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665
Country Country
United States of America United States of America
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 apply: 2
7 NO CONDITION YES NO CONDITION 0
0 1.Will this property be the buyer's primary residence? 0 3.Homestead 0
0 ,Cll" 4.Solar Energy Heating or Cooling Syste; I"I
. Does the buyer have a homestead to be vacated for 0 �J 5.Wind Power Device tsj
❑ this residence?Ifyes,provide address: 1
0 fJJ 6.Hydroelectric Power Device a
Address(number and street) 0 f9 7.Geothermal Energy Heating or Cooling
O
't
City,state,and ZIP Code County
26-18-07-101-000.400-022 713
to