Homestead_Howard (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly Norton Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
COREY J. FOSTER MELISSA R. FOSTER
Address(number and street) Address(number and street)
402 E Mulberry St 402 E Mulberry St
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648-1636 Fort Branch, IN 47648-1636
Country Country
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 pro rty,or its or falsifies any information required to be provided,commits a Level 5 felony.
Sig e el Si nature of Seller
0 ,I ' 1. oCine 4.5L, k rLL..'
Print me of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
COREY J FOSTER February 7, 2022 MELISSA R.FOSTER February 7, 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
KYLIE F. HOWARD
Address(number and street) Address(number and street) Li �,D
403 S Lincoln St 1, 1
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648-1627 FFR 2 3 ?02?
Country Country y� r��
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES. NO CONDITION
1.Will this property be the buyer's primary elfp-• El 3.Homestead
residence? 0 elfb 4.Solar Energy Heating or Cooling System
y ! � Does the buyer have a homestead to be vacated 0 5.Wind Power Device
❑ 4_ for this residence? If yes,provide address: 0 d2f 6.Hydroelectric Power Device
Address(number and street)
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