Homestead_Stinson H. PREPARER
Preparer of the Sales Disclosure Form Title
Stacey Salzman Settlement Agent
Address(number and street.city.state.country.and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715 �ET■
I.SELLER(S)/GRANTOR(S) rr dL■
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyao
Duane E.Sullenger Jodi L.Sullenger an
(number and street) Address(number and street) MAR 29
.3,ZrS L.a .4- io?7 ix.cil -,
City.state.and ZIP Code City.stale.a d ZIP Code n J�//V�
A�� " � �/�� � �� CNT( AUp�'f;OR
�"rGW4�S�ZtG�'}-t .!�!�/ �� Country ��- �')J' '!L/ G," BSt"CI"
Country
US US Telephone number
E-mail address
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 felony.
Sig- ...._ of r Signet ,feller 0.01)
�� %% 111q 'VIUi L_.
Printed Name of Seller Date signed(mm/ddlyyyy) Printed ts me of Sell Date signed(mmfdd/yyyy)
Duane E.Sullenger
03/24/2022 Jodi L.Sullenger 03/24/2022
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 an conveyance document
Bret A.Stinson
Address(number and street) Address(number and street)
1132 Loft Cove
City,slate,and ZIP Code City,state.and ZIP Code
Evansville,IN 47715
Country Country
US
( )
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 0 3-Homestead
residence? 0 a 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated
0 (B 5.Wind Power Device
for this residence?If yes,provide address: 0 Q 6.Hydroelectric Power Device
Address(number and street) 0 at 7.Geothermal Energy Heating or Cooling Device,
City.state.ZIP code.and county D f V 1 S' -3 C-3 00-0 0 2 `O3 0-.0 214 -
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
of 5 kv f . _ t.,