Homestead_Brown (34) H. PREPARER
Preparer of the Sates Disclosure Form Title
Catherine Deters Settlement Agent
' Company
Address(number and street.city.state,itnuntry.and ZIP Code)
412 E.Flora St,Washington, IN 47501
I. SELLER(S)(GRANTOR(S) _ - , -
, Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
La Curtis Taborn . ,
A;,frzr(number
and street) Address(number and street)
IL
... 1,0114 n'onlc,a -TY* -1)- )Le R D
_Cilx.state.and ZIP Code City,state.and ZIP Code
%-eri 00 0-0 r) In Li7 Cr?0
) 1-. t3 2 2022 AA/
Country Country
US 4/
- AUDITOR
_.._ . ..
Under penalties of perjury.I hereby certify this Sales Disclosure,to the best of my knowledge and baReirrs true,correct end 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.
rat e of S Iler Signature of Seller
-the
' Printe Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mmfdd/yyyy)
La Curtis Taborn 01/14/2022 01/14/2022
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 A.Brown Hannah M.Allen
Address/number and street) Address(number and st et)
" 'Z5CIS• liell-dt166 '2:-S7-0 g. ia
City,st.4 s. lnei 71P Code
City.stale.and ZIP',ode
1 tfrisq/
Livinvct-i-LAr.Lp.,, //1A ur/ice 1 t1-7 , 1
I
Country Country
US US
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyers primary Pg 0 3.Homestead
I3) a residence? 0 (X) 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 K.+ 5.Wind Power Device
0 0 for this residence?If yes, provide address: 0 03) 6,Hydroelectric Power Device
Address(number arid street) 0 (N 7.Geothermal Energy Heating or Cooling Device
2320 S Henderson Rd
City,state,and ZIP Code County , G--/2-1 g.-3o1/-cod. 059-00,/
Vincennes,IN 47591 Knox
,. .