Homestead_Mann H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1,—Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Tara Newton
Address (number and street)� y ��' Address (number and street) FILED
ain t. 31A1` �,�1� ?kw:�
City, State and ZIP Code City, State and ZIP Code
W4.)3 V-1_ 2 T c\ MAY 0 6 2022
Country Country
United States of America
E-mail address
GIBSON COUN
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 ur f Seller Signature of Seller
ri d Na�Seller Date signed mm//d/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
a Newton Z k
J. BUY : :_NTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
,'Buyer .. -rs on conveyance document -••ears on conveyance document
Nathan R. Mann 4 Amanda E. Mathis
.. - . .- • • street) • ._ _- _._._. . • s reet)
519 E. State St.,Apt 7D _F II!/ 519 E. State St.,Apt 7D
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 MAY 4 2[172 Princeton, IN 47670
Country Country
United States of America United States of America
E-mail address �
(270) 305-9429
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all o se that apply:
YE NO CONDITION YES/ NO CONDITION- '
❑ . Will this property be the buyer's primary residence? ❑ ❑ /3'. Homestead
❑ 4. Solar Energy Heating or Cooling S 9,0
0 2. Does the buyer have a homestead to be vacated for ❑ IGIV5. Wind Power Device
this residence? If yes, provide address:
El I���Hydroelectric Power Device
Address(number and street) ElUl/7• Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and county . P 7 - 1.0
/ _ _/// �
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