Homestead_Hardiman (20) H. PREPARER
Preparer of the Sales Disclosure Form f Title
Gwyn Shaw Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
5231 Oak Grove Road,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 conve
yance yanoe document
Douglas C.Deisher Karen K.Deisher
Address(number and street) ' Address(number and street)
4s50-e-2ee-rt Z O ' -t-!' 416 -"_ "4650-E-466-N- 2 c6 S"S� /l : ''l'ev < a".
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670 _ t Princeton, IN 47670
Country Country
_
real property,or omits or falsifies any information required to be provided,commits a Level felony.
Signal re of elver /� { i Signature of r C M � �`e��
y� wYj/I,1 1 _� / � J '? `i7�,�1� ?'j'" ''t
Printed Name&Seller I Date signs (mm/ddlyyyy) Printed Name of Seller I Date signed(m d
Douglas C.Deisher �'x( I Z7Z/2-I Karen K.Deisher '} - )r{ - /i .
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 appears on conve
yance document
Julian Hardiman
Address(number and street) Address(number and street)
406 W.Cleveland Ave
{
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country Country
United States of America United States of America
_-
the Sales Disclosure Form may be used to a I for certain deductions.Identify all of those that applyS)
YES NO CONDITION YES NO CONDITION
. (D4g (._
0 0 3. Homestead C Pzi
63 0 1.Will this property be the buyer's primary residence? PJ Ci w I"I
0 4.Solar Energy Heating or Cooling Sy
❑ 0 2.Does the buyer have a homestead to be vacated for 0 m 5.Wind Power Device z o
this residence?If yes,provide address: 0 RI 6.Hydroelectric Power Device ,.. N I.
Address(number and street) 0 0 7.Geothermal Energy Heating or CooE •ce
_ i =
City,state,and ZIP Code County __� Xi
26-12-18-301-001.733-028 c7
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and complete