Homestead_Allen (5) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state. country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) T c T �_
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on c vev
Christy S. Walker
resq,(n 1beyra d stree) Address(number and street) MAY 2 4 2022
Cityy//;Isla//te,and ZIP/,Cod ( t / City,state,and ZIP Code c'� �i ._. 4.
"�- ��"_._ LOie GIBBON rt1UNT1 Aui;.iu.
Country Country
USA
( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
requlrr,,ed by law,and is prepared in ac rdance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies the value of transferred
re operty,or omits or sties a int rrnation required to be provided,commits a Level 5 felony.
ign a of Sell r Signature of Seller
441
Pnnte Idarfie' S r Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Christy S. W k r ,'20- Z-2 -
J. BUYERS) NTEE(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
Anthony Allen
Address(number and street) Address(number and street)
9672 U.S. Highway 41,
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639
Country Country
USA
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 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 Cl for this residence? If yes, provide address: 0 CI 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
(51-1,9— 32-) oo-002.-6o8- nzk-I
3 of 5