Homestead_Mattingly H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina Gourley Title Clerk
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears
William CodyDeHart on conveyance document
Stacey L. DeHart
Address(number and street) _e,inns n er an strut)
City,state,and ZIP Code C,linyec,�state,and ZIP Code
Country Country I r/) C�
E-mail ad Telephone number
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,commit -Level 5 felony.
'gnature of Se *,_-----7 ,o„ of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Prin Name f Seller Date signed(mm/dd/yyyy)
William Cody DeHart �7�.,`" 4rE)',...zai_� Stacey L. D Hart
J. BUYER(S)/GRANTEE(S)-APPLICA736N FOR PROPERTY TAX DEDUC ONS-IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
MaryJane Marie Mattingly Randall Grant Becht
Xddresss`(number d s�ttreeeet))/} �'^ 5 Add (number and re ) FILED
city,state.and ZIP Code City,state,and ZIP Code
v Y/' , t-IN --1771i7 44 6 J U N 1 4 20�22
;ountry r h � Country yVtHTd
apply for in deductions.Identify all of those that apply:
YES O CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary O 3.Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
O ,2. Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence?If yes,provide address: O O 6.Hydroelectric Power Device
Address(number and street) 0 C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
.,V)-\I-‘3 -Lk LA-oot . 143- c 6
Page 3 of 5
i