Homestead_Rogers H. PREPARER 1
Preparer of the Sales Disclosure Form Title
KATHY MASTERSON CLOSING AGENT
Company
Address(number and street,city,state,country,and ZIP Code)
501 MAIN STREET, Evansville, IN 47708
I.SELLERS)/GRANTOR(S)
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
Chrysanne M.Rogers
Address(number and street) Address(number and street)
• lilt 5 jeatta., Ltu*-
City state,and ZIP Code City,state,and ZIP Code
1 5 '4i,3/
USA Country
Country
E-mail address I E-mail address Telephone number
Pursuant t IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: m
YES NO CONDITION YES NO CONDITION O lc m
❑ ❑ 1.Will this property be the buyer's primary 0 El3.Homestead z ff N
residence? ❑ ❑✓ 4.Solar Energy Heating or Cooling System ca 0 H
co
Z N tl
❑ .Does the buyer have a homestead to be vacated El ❑✓ 5.Wind Power Device o
for this residence?If yes,provide address: c> VI
el 6.Hydroelectric Power Device
ti
Address(number and street)
❑ ❑✓ 7.Geothermal Energy Heating or Cooling Del
City,state,and ZIP Code County c)
26-18-36-403-000.431-009 co
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