Homestead_Ruff H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on cyjnc11 docutiee L
r 1
Stacy Pullins lJ
Address(number and street) Address(number and street)
1Crt �.0 U . (R %as S - MAY 0 fi zozz
City,st and ZIP Code City,state,and ZIP Code /�
r- 2Ar-S Ila v� tin s cD 9 Qi..7/Yt�'�°s°°1
Country
US CountryGIBSOf COUNTY AUDITOR
E-mail address
( )
Under pena til pe ury,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 propert or omit fatsinformation required to be provided,commits a Level 5 felony.
Sig lure Signature of Seller
P d Name of I er Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Stacy Pullins 04/29/2022
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
Lavin Ruff Riley Hoover
Address(number and street) Address(number and street)
1609 S Morton Ave 1609 S Morton Ave
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47713 Evansville, IN 47713
Country Country
US US
to apply for certain ded ctions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
O O residence? 0 p 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: 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
Q(-1 q - 01-300--00CI.3o8 - 'o oe
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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