Homestead_Heneisen H. PREPARER
Preparer of the Sales Disckisure Form
Title—
LanaHarper -k I--
Company
Address(number and street,city,state.country,and ZIP Code)
5231 Oak Grove Road.Suite A,Evansville, nt 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document
Beth Ann Sexton Seller 2 Name as appears on conveyance document
Address(number and street)
6526 W.State Road 48 Address(number and street)
City,state,and ZIP Code
Jasonville,IN 47438 City.state,and ZIP Code
Country Country
United States of America United States of America
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 beRrovided,commits a Level 5 felony.
Sig Selle Signature of Seller ature r )
Printed Name of Selter DatTig Printed Name of Seller
Beth Ann Sexton ..ami• i
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY MAR IMPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as appears on conveyance document
Janna Nicole Heneisen Gavin Lee Hobdy Vhgeiza_te C7c/
Address(number and street) Address(number and street) GIBSON COUNTY AUDITOR
210 S.East Street 210 S. East Street
City,state,and ZIP Code City,state,and ZIP Code
Oakland City,IN 47660 Oakland City,IN 47660
Country Country
United States of America United States of America
YES NO CONDITION CONDITION
3.Homestead
O( 0 1.Will this property be the buyer's primary residence?
0 RI 4. Solar Energy Heating or Cooling System
o L. 2.Does the buyer have a homestead to be vacated for 12l 5.Wind Power Device
J
this residence? If yes, provide address: 0 2i 6. Hydroelectric Power Device
Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County
L-I‘A- 1g-14°3-00o. 024 _ 004_
COPY