Homestead_Dent I
•
H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina Latham Title Clerk
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave,Suit 102 Evansville,IN 47714
I.SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Andrew J.Whitfield Danielle N. Williams
Address(number and street) Address(number et Me....II-IacD, .S, (tS o tA)
City,state,and ZIP Code City,state,and ZIP Code
C vt t\C/ . IN 47 Cr) [ a
Co ntry Country
(ASPt
- ( )
Under penalties of pe'llay,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 f Isifies any information required to be provided,commits a Level 5 felony.
S+gn of / Si roefar
/-Z -Z / avtuth N w
tint e o Se Date signed(mm/dd/yyyy) anted Name of Seller Date signed(mm/dd/yyyy)
And w J.Whi eld Danielle N. Williams l' O g- 2 i
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
Gregory M. Dent
Address(number and stree/). Address(number and street)
/0 5 4//
City,state, nd ZIP C°qde. ''JJ City,state,and ZIP Code
Alec v,Viahi � 5( 6_r
Country Country
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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:
rYES NO CONDITION YES NO CONDITION
. 0,X 1.Will this property be the buyer's primary X 3.Homestead 5
residence? o
0 x 4.Solar Energy Heating or Cooling Sys m tzi
20 .Does the buyer have a homestead to be vacated 0 x 5.Wind Power Device o o_ H
for this residence?If yes,provide address: 0 x 6. Hydroelectric Power Device ry N
Address number and street) 0 x 7.Geothermal Energy Heating or Coolia evicU o
ED
City,state,and ZIP Code County 26-19-31-304-000.209-00901- t-
o