Homestead_Choy H. PREPARER_
Preparer of the Sales Disclosure Form I Tine
AshLei h Foster 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
Chris Cagle ) Il(R. Jessica Cagle
Addresi yiber 1s and!1 I iS L\� r •
Address(number and street) H Ik Dr
City,state,and Zl \ 11'1 tC I l:F t .\N ;yl� ?O City,state,and ZIP Code 1 Y i Ix(t C I \A' (l u]o _
Country Country
United States of America United States of America -
Under penalties of perjury, I hereby certify this Sales Disclosure, to the beet.Jof 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 felon
i ignature ler a ,
re of Seller
Printed Name of Seller Date (mm/dd/ ) Printed Name of Seller SDatrsigr/ed(tnm[d�/yyyy)
Chris Cagle �o� �O.?a Jessica Cagle llkk�t u L L
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 conveyance document
Timothy A Choy
Address(number and street) Address(number and street) FILED
450 W.State St
City,state,and ZIP Code City.state,and ZIP Code 1 O �O2�
Princeton,IN 47670 I JUN
Country Country ,,{�
United States of America United States of America � a. Yt ) -
certain deductions.Identify all of those that apply:
YES NO CONDITION YE2 NO CONDITION
0 3. Homestead
0 1.Will this property be the buyer's primary residence? 0 Q 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated for ❑ Q 5. Wind Power Device
❑ El this residence?If yes,provide address: l ❑ Q 6. Hydroelectric Power Device
I
Address(number and street) ❑ Q 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County -12- ,0 3--0 O 1 .4-
4 , C, - 0 2-�
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true, correct and complete
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