Homestead_Perry H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, 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
Brandy (K.nm Ramsey 'LED
ED
Address u er and street) Address(number and street)) 1 jJ
r�l o
Cit torte,and ZIP Code City,state,and ZIP Code MAY 3 1 2022.
LWL' II:e rio L/T71 a-r>
Country Country
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.
Si ature of Seller Signature of Seller
i . Ltosevi
Printed Name of Iler (ate signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Brandy K. Ramsey 05/20/2022
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
Benjamin W. Perry
Address(number and street) Address(number and street)
4104 East 200 North
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 ___.._..
Country Country
USA
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
17 O 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
O O for this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
n/a
City,state,ZIP code,and county
n/a .`a_tzt-O---- 3S- -"70-cool ( 2, - ot74
of 5 C 0 PY