Homestead_Beadle (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Melissa Wiggins Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7321 Eagle Crest Blvd., Suite A 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
Elizabeth A. Greene
Address(number and street) Address(number and street)
t1, t5t 7 C' ..>VeNe- 1 c' -.-t, '-c?--c-\
ity,state,and ZIP Code City,state,and ZIP Code
'r:t\t ek,-CYTh \— ' R L,—1 l.o`—C C,
Country Country
US
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
Z. �. t OOM. 0
PrintearName of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Elizabeth A. Greene 12/08/2021
J. BUYER(S)/GRANTOR(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL T AT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyan ent
Kayla Denise Beadle
Address(number and street) Address(number and street) '4:4/..,1
1027 South Gibson Street .0(c-C,
City,state,and ZIP Code City,state,and ZIP Code 1
Princeton, IN 47670 ,4Psp� 2a�,
Country Country p0
41i
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for certain deductions.Identify all of those tat apply:
YES NO CONDITION YES NO CONDITION
n n 1.Will this property be the buyer's primary ❑✓ ❑ 3. Homestead
residence? ❑ n 4. Solar Energy Heating or Cooling System
I-2(/2.Does the buyer have a homestead to be vacated ❑ ❑✓ 5.Wind Power Device
❑ III`���JJJ for this residence? If yes, provide address: Ej ❑ 6. Hydroelectric Power Device
Address(number and street) n [ 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County
2G4)-- I3 -2,0‘ - 00 '3 to - GaS
e;,rT1 t' v�acsan Land I Isle, L
,2 Eagie Crest Blvd
Evansville, IN 47715