Homestead_Walther H. PREPARER
arer of'the Sale IsqI ur�e Form Tf
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Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd Ste 201,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
Estate of Robert E.Batdorf Diane B.Batdorf
Address(number and street) ��� Address(nu ber and street)
1Bs31 wh(s Y, e
Clt ,state and ZIP o e ( City,state,and ZIP Code
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Country Country
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E-mail address NA mail address Telephone number
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correc and complete as
required by law,and is prepared in accordance with IC 6-1,1-5,6,A person who knowingly and intentionally falsifies the value oftransferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller,,��// Signaturcrof/�Iler �/�
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Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/ddlyyyy)
Estate of Robert E.Batdorf 02/01/21 Diane B.Batdorf 02/01/21
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
Jason A.Walther Alicia Walther
Address(number and street) Address(number and street)
438 E Walnut st 438 E Walnut st
City,state,and ZIP Code City,state,and ZIP Code
Owensville,IN 47665 Owensville,IN 47665
Country �S 1 ' Country
E-mail address
4 '
r, 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:
v YES NO CONDITION YES NO CONDITION o
d 1.Will this property be the buyer's primary g O 3.Homestead co
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residence? ! Id
id r0 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 t, 5.Wind Power Device Z N H
a for this residence? If yes,provide address: p 6.Hydroelectric Power Device % o
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til
.2 Address(number and street) 0 7.Geothermal Energy Heating or Cooling Del d
,, 438 E Walnut St,.o;ville, IN 47665
City,state,and ZIP Code County 26-17 01 101 002.467 021 xr
a 26-18-07-100-000.301-022 W
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