Homestead_Meier H. PREPARER
Preparer of the Sales Disclosure Form Title
Cody L Pruett Closer
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Avenue, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on co a e document
Aaron C. Holland L E D
Address(number and street) Address(number and street)
309 S 4TH AVE
City,state,and ZIP Code City,state,and ZIP Code MAR 2 3 2022
HAUBSTADT, IN 47639
Country Country ti a. A27`..tsina.)
GIBSON COUNTY AUDITOR
E-mail address
_ ( )
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.
Sign,.ire of Seller Signature of Seller
ranted Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Aaron C. Holland 3/15/2022 ,
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
Orion A. Meier Sierra D. Meier
PI•dress(number and street) Address(number acid street)
O(A S jtA ev�u vz au cr S 4 tie--
City,state,and ZIP Code City,state,and ZIP Code �� `11-(c�.0 S+ctdt , L! Lk P3`1 1. .,65)-?J� /
CountryCa
+ Count I
tJ y tCa 3�l C5 Uni i-- S/'aLGS
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 3. Homestead
O residence?
0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence? If yes, provide address: O C) 6. Hydroelectric Power Device
•
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
�(z.-VI— 31 -304-000 , off- - ��- 9
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