Homestead_Sparacino (5) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina Gourley Title Clerk
Company
Address(number and street,city,state, country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S) TT �1 TT
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conv�ehcedo umerf-� ■ '
Scott T. St. Clair, Sr. ll 1111 11 L
Address(number and streetp Address(number and street)
75 QC) 'c \S pr �,-e.. APR 1 4 2022
City,state,and ZIP Codek. City,state,and ZIP Code
Fvr;`xv1 Soil Le M_N L -I �J aLt' CG. '/1tx'k.:naJ
Countr
y Country GIBBON COUNTY AUDI I OR
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.
Signature of Seller } Signature of Seller
''' > J_ �.. .- .67
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller . Date signed(mm/dd/yyyy)
Scott T. St. Clair, Sr. e'y_ a 2 c-- -
J. BUYER(S)IGRANTEE(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
Samuel Sparacino Jennifer Sparacino
Address(number and street) Address(number and street)
S(1-1 et me QG S ''e.e4. .l'U
City,state,s and ZIP Code City,state,and ZIP Code
i D v i/L/'7S 1!t ti-e . i NA '4'-1 CPU 5
Country Country
E-mail address
( ) ,ona Lf 'tl rCer
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 YE NO CONDITION
O 1. Will this property be the buyer's primary 0 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
O ' .-' 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
-" for this residence?If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 p 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
DC-l '8 -07- 1,03-000, 6o - —o2 2_
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
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