Homestead_Chavis 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)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Jeffrey K. Young M. Elaine Young
Address(number and street) Address(number and street)
133/ /A 1 t - y c 7 /33 i '2o� .�, , t er1G-
C it ,sta e.and ZIP Code City, ate,and IP ode
PeA.es .PG 7.� 4"73Z7 t �bwt 'd 447.5-6.'7C try Country (�
•
kidiCil
E-mail address
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- f Seller Signature r/Slier #r1/41/4-8---
Pi ed Name eller (7 Date signed mm/dd/yyyy) Prin d Name of Seller Date gne (mm/ddlyyyy)
Jeffrey K. Young 5727�22 M. Elaine Young aD,?a
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
Elbert Chavis Roxanne Chavis l
Address((number and street)) t� Address(number and street) " j
�7 Ilki tr?/'c.TC �[`. 4.....
City,state,and ZIP Code City,state,and ZIP Code
0gk feet>`(D CAYt lrl Y76,(o0
Country Country /
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION _ YES 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
-❑ 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 CI 6.Hydroelectric Power Device
Address(number and street) ❑ C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
1LI-kB-3O3- 0o0 . G Io -oo4-
MAYa24322 (; 7- .) fe,6,--f'°ly
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GIBSON COUNTY AUDITOR