Homestead_Phillips H. PREPARER
Preparer of the Sales Disclosure Form Title
Lynette Murray First Advantage Title Services
Company
Address(number and street,city,state,country,and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN,USA 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Fannie Mae aka Federal National Mortgage Association
Address(number and street) Address(number and street)
5 no Er G,V1i-}e Ff.(Yw c�U
City,state,and ZIP Code / City,state,and ZIP Code
PI An 01 TX -75 c0 z\1
Country Country
VsA •
E-mail address Telephone number E-mail address Telephone number
( ) ( )
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.
Signature of Seller Signature of Seller
Jacob Williamson,Vice President
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jacob Williamson,Vice President 02/26/2021
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
Terry W.Phillips Deborah J.Phillips
Address(number and street) Address(number and street)
IC)y W Ltit>t /11n-r s
City,state,and ZIP Code City,state,and ZIP Code
F0(-- (z, Af1Ch I 416 L
' Country Country
VISA
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: P-
YES NO CONDITION YES NO CONDITION
O
1.Will this property be the buyer's primary O 3.Homestead zo v ti
residence? 0 itr 4.Solar Energy Heating or Cooling System E N F
V2.Does the buyer have a homestead to be vacated O 0 5.Wind Power Device
for this residence?If yes,provide address:
O 47 6.Hydroelectric Power Device c C
Address(number and street)
0 7. Geothermal Energy Heating or Cooling Doi
x
City,state,and ZIP Code County n
26-18-13-404-000.775-026 co