Homestead_Faulkner H. PREPARER
Prepare of the Sales Disclosure Form Title
MA(rn tA g'r Ai---f-- aoSe If
Company
...
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as II appears on conveyance document Seller 2-Name as appears on conveyance document
Chris Richardson
Address(number and street) Address(number and street)
1823 W Burlington Place
City,state,and ZIP Code City,stele,and ZIP Code
Princeton,IN 47670
Country Country
US
E-mail address
, _ , __.
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._ .
St atur Seller .%)0„, Signature of Setter
- ,?.....g
rinsed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Data signed(mm/cictfyyyy)
Chris Richardson 12/07/2021 12/07/2021
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
Joshua Faulkner Nichole Faulkner
Adilres?Snurprr andetzeKk , Address(number and street)
1 0 w
, Cily,state,and ZIP Code,-- City,state,and ZIP Code faprit
,Cc vuLe 64_ I X _
Country Country
US US
Pursuant to IC 6-1.1..1244.the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply;
YES NO CONDITION Y S NO CONDITION 6.
55
a 1.Will this property be the buyer's primary
0 3.Homestead
residence? co
a a
4.Solar Energy Heating or Cooling Sysfe - 'CP) Fri
a c) I-I
2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device c --1Z
"
a
>0 for this residence?If yes,provide address: 0 6.Hydroelectric Power Device 2 tzi
Address(number and street) 0 7.Geothermal Energy Heating or Cooliki ce 0
a --
City,state,and ZIP Code County zr
.26-11-14-101-000.065-027 Ca
CO
Under penalties of perjury.I hereby certify that this Sales Disclosure,to the best of my knowledge and belief.is true,correct and complete
Page 3