Homestead_Epple H. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly Norton Escrow Officer
Company
Address(number and street.city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, 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
MONICA A. DEBORD
Address(number and street) Address(number and street)
4906 E State Road 56
City,state,and ZIP Code City,state,and ZIP Code
Hazelton, IN 47640-9364
Country Country
E-mail address
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
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
See ney- - a9e
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
MONICA A.DEBORD April 27, 2022 April 27, 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
CRAIG D. EPPLE
Address(number and street) Address(number and street)
214 E Warnock Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670-1656 -
Country
Country
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Ir l ❑ 1.Will this property be the buyers primary 0 3.Homestead 1 O
residence? ❑ 4.Solar Energy Heating or Coolincm �, o
--,/2.Does the buyer have a homestead to be vacated El5.Wind Power Device
ti
a
0 L� IZEr
for this residence? If yes,provide address: ❑ 6.Hydroelectric Power Device ~
Address(number and street) 0 L.Y 7.Geothermal Energy Heating or F v De e
^u
City,state,ZIP code,and county Jamf�J - , O
24 /2 UG •f - i co
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,cone t a complete 5
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