Homestead_Akers H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd. 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
Jason Andrew Downey
Arjdy-6s(r mber and S et 1 v--)(ti Address(number and street)
City`,statte,_71JjJ�gidi L� CCCJJJ�-. ( (' City,state,and ZIP Code
Country S V / i /,�J\ Country
US US
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.
Sign tur/p of4lei Signature of Seller
Printed Name of Sel r Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jason Andrew Downey 12/30/2021
1
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
Jesse J.Akers Michaels H.Akers
Address(number and street) Address(number and street)
603 E Oak St 603 E Oak St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
US US
n n I 1.Will this property be the buyer's primary El� i NO I 3. Homestead
residence? I 1, 1 4.Solar Energy Heating or Cooling System
ri r�( 2. Does the buyer have a homestead to be vacated Q✓ 5.Wind Power Device
lVJ for this residence'? If yes, provide address: n i v] 6. Hydroelectric Power Device
Address(number and street) I 1 i l 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County ,2 6,
,r.>5 -ID _ )50 -ow. -mil-G /7