Homestead_Dyson H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina M. Lenfers Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
5231 Oak Grove Road,Suite A,Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Ryan Houdyshell
Natalie Houdys
hell
Address(number and street) S/ �✓ ll
FILED
t 6p.�� � 0t nee�b pL'-� f/C( Address(number and street)
City fate,and ZIP Code City,state,and ZIP Code MAY 2 5 2022
��ri�rrn -d �J �''f�a .7t0
Country Country I ram' i
United States of America United States of America t �• t'V _
GIBBON COUNTY AUDITOR
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, commitsee a Level 5 felony.
"Velure of Seller/] 1 )/ �/ / ,�� .`./'ignat �f ell %/ /
,' /[�"/h/'/,'1_- LJ/�tL. tlf1,7�')1/''( )x��'���r(/ U{Jy J
Printed Name of S ler Date signed(n m/dd/yyyy) Printed Name of Seller Date signed Jmm/dd/ I
Ryan Houdyshell IS/c?C J O.)?- Natalie Houdyshell O s/c/D /«0a-.2.'
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 appears on conveyancedocument
G '}L—'pt
Brian Dyson Courtney ysev. t- rylaii- DbSOI'1 C 1-T/�
Address(number and street) Address(number and street) CJ
1872 N.Old Petersburg Road 1872 N.Old Petersburg Road
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
E-mail address mail address Telephone number
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may 6e used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
` r [X 0 3.Homestead
/j 0 1.Will this property be the buyer's primary residence?
0 0 4.Solar Energy Heating or Cooling System
❑ 2 2_Does the buyer have a homestead to be vacated for 0 E 5.Wind Power Device
this residence? If yes, provide address: 0 IZ 6.Hydroelectric Power Device
Address(number and street) 0 m 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County 36-U) \ —3 ,_Li( 'Q 000 - 19-6 — Cl)
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