Homestead_Absher H. PREPARER
.Preparer of the Sales Disclosure Form Title
Christa D.Tracey Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Robert L. Pierrard
Address(number and street) Address(number and street)
210 E 1st St.
City,State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660
Country Country
United States of America
E-mail address mail address Telephone number
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 of Seller Signature of Seller
Printed Name of Seller Datea signed(mm/dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Robert L. Pierrard /—/ a 02 Z-
J. BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
B t appears on conveyance document Buyer 2 NaLme as it appears o conveyance document
Kevin Eugene Absher be/V-- t � --"'1 e\e'-J
Address(number and street) Address(number and street
City,State and ZIP C ' I \ City, Stat n Its
- -) Ln(C, O
0- . IN C 74.''. ' kl `-t (0 a�J LA) 't
C) Country Country FEB 7 2022
C'� United States of America 8 E-mail address
� em1 ..a. nQlis-
,--
(NI
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to ap IM r NTIett.4 R c3 t?R.Identify all of those that apply:
I YES NO CONDITION
0 0 1. Will this property be the buyer's primary residen li3" ❑ HnmPstoari\
❑ CY 4. Solar Energy Heating or Cooling System
M p/ ❑ 2. Does the buyer have a homestead to be vacated for 0 b"'5. Wind Power Device
this If yes, provide address:�i residence? s: 0 I�''�Hydroelectric Power Device
Address(number a treet) ` " 0 0 7. Geothermal Energy Heating or Cooling Device
t`k- City,State,ZIP code,and countycfl ,
/ '/q'i S ..�� •� _ 47 a a .� L .G yd.�
t � -sue `-F 30 fo
Under penalties of perjury,I hereby certify that 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.(Note:Both spouse's
information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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