Homestead_Spindler (32) H. PREPARER
Preparer of the Sales Disclosure Form Title
Micah Scott Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd. Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on con yan do ent
Rebecca K. Moore
r (yWmggGan me) e� �� Address(number and st �.L��1'��
P lab �j 777"'
Ci , fate,and ZIP Code City,state,and ZIP Code ,v�� \�O
- h S/XCL-- " /Pt l'01,3q vV PJ
�f / Country ����
Country LA
V/ ' v
G�
E-mail address
GAO ( )
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
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signs o Seller` `• Signature of Seller
44' P nt d Name of S� �to signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Rebecca K. Moore 04/c.t/Zoz>:
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
Melissa Michelle Spindler 1K.4.)IL( 1: 's*c'e•-r- Or�\,-Q(A
Address(number and street) Address(number and street)
6375 South 350 East 6375 South 350 East
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch Indiana 47648 Fort Branch Indiana 47648
Country Country
US US
E-mail address I
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply 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
CI 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
-5,. 0 ® for this residence?If yes,provide address: 0 CI 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county - - CD- I� -^ Lk-
LA 00 - O CDO (--1
—
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete Q a�
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