Homestead_Esenbock H. PREPARER _
Preparer of the Sales Disclosure Form Title •
Neil Gilles President
Company
Address(number I hd street,city,state,country,and ZIP Code) �/
-700 S- GVle_ok.elo.. Rd• GvAkiSv:16-J /hf 61-11 ' "(
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conT E D
Morganside Investments 11■�--�/
Address(number and street) Address(number and street)
700 S Meadow Rd
City,state,and ZIP Code City,state,and ZIP Code MAY 0 5 20f2
Evansville,IN 47714 1.�
Country Country / �1...i a. lrZ&-n
US GIBSON COUNTY AUDITOR
( )
Under penalties of p Jury,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 prope ,or omits or f Isifies any ormation required to be provided,commits a Level 5 felony.
Signatur Seller
....1_,....----------
Signature of Seller
Printed ame or Seller Date signed(mm/dd/vyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Neil Gilles 44/'?.-- 1) .-7._
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
Jaclyn Esenbock
Address(number and street) Address(number and street)
411 N Gibson St
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country Country
US
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? O ✓ 4.Solar Energy Heating or Cooling System
✓ 2. Does the buyer have a homestead to be vacated 0 ✓ 5.Wind Power Device
for this residence? If yes, provide address: O ✓ 6.Hydroelectric Power Device
Address(number and street) O V 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County
�6-i2 -CT- 102-C)p1 - oo1 -028
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