Homestead_Dill (2) H. PREPARER
Preparer of the Sale OisclosuF Title
Uk6k Title Compaq— �-
- -
1-
Address(number and street.city.state,country.and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S) �__
Seller 1-Name as it appears on conveyance document
l Seller 2-Name as appears on conveyance document
John Wells Kimberly Dawn Wells
Address(number and street)
Address(number and street)
633 North 350 East 633 North 350 East
City,state,and ZIP Code City.state,and ZIP Code
Princeton,IN 47670 Princeton,IN 47670
— Country
ountry
US US
N�
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
1 property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
-Vaiure Seller Sigrrre of S Iler0 .tAS
' �c� 11 _IL
Date signed mm/dd/ Printed Name of Setter Date signed(mmfdd/yyyy)
nfeed Name of Sailer _ g ( YYYy) 05/20/2022
Wells 05/20/2022 Kimberly Dawn Wells
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 2-Name as it appears on conveyance document
�Buyor 1 -Name as it appears on conveyance document Y
Joshua Edgar Redwine Dill
Address(number and street) Address(number and street) FILE,D
PO Box 125 — —_ city.state,and ZIP Code -- MAY 2022
City.State,and ZIP Code -—
Keensburg.IL 62852 3.1
Country Country e .'r ..0a
:411Co:Uhose
N-i� AUDITORUSEmail address L'tBgO Telephone number
E-mail address
appl/for certain deductions.Identify that apply_YES NO CONDITION YES NO CONDITION _
1.Will this property be the buyer's primary
IBi 0 3. Homestead
® residence? Q CD 4.Solar Energy Heating or Cooling System
W
d
— -_M e 0 Q 5.Hydroelectric
Power Device
2.Does the buyer have a homestead to be vacated
� for this residence? IT yes,provide address: p (� 6.Hydroelectric Power Device
Address(number and street) 0 cg 7.Geothermal Energy Heating or Cooling Device
City.state.ZIP code,and county t `2-0 3 _ 1-0 0-00 6 21- — p 2 9-- -
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
of 5 c 01 p