Homestead_McPhee H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
[. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Estate of Lula Knoll
Address(number and street) Address(number and street)
_1*-)DO __---C-CC t,-XA tv1 . --
City,state,and ZIP Code City,state,and ZIP Code
-- Li 1(P(C'a
Country Country
05 1-1
,
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•off;3eller i? Signature of Seller
ranted Name of Seller Date signed(mmidd/yyyy) Printed Name of Seller Date signed(mrn/dd/yyyy)
Charles Knoll,Personal Representative December 30, 2021 December 30, 2021
J. BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
r
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as It appears on conveyance document
Dixie McPhee
Address(number and street) Address(number and street)
635 West Division Street
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660
Country ` Country
deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION N
1.Will this property be the buyer's primary ® ❑ 3.Homestead p
El ❑ residence? 0 0 4.Solar Energy Heating or Cooling Sy o c_ H
5.Wind Power Device = o
2.Does the buyer have a homestead to be vacated 0 ® z o
❑ ® for this residence? if yes, provide address: ❑ 0 6.Hydroelectric Power Device a N trl
Address(number and street) 0 ® 7.Geothermal Energy Heating or CoolFcg ice t7
_ a
City,state,and ZIP Code County xi
26-14-18-303-001.142-007 m
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
3