Homestead_Bailey H. PREPARER
Preparer of the Sales Di I re For Title
t_ i6� , Title Company __
} Company _
Address(number and street,city.state.country, and ZIP Code)
7820 Eagle Crest Blvd,Suite 201, Evansville,IN 47715
I. SELLERS)/GRANTOR(S) __ __ _ —
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Michael Tarlton I
Address(number and street) Address(number and street)
509 E Montgomery Street
City,state.and ZIP Code City.state.and ZIP Code
Owensville,IN 47665
Country Country
US
E-mad address
( )
Under penalties of rjury,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.
Signature of Seller / 1 Signature of Seller
Printed Name of SellerllL Date signed(mm/dd/yyyy) Printed Name of Seller 1 Date signed(mm/dd/yyyy)
06/24/2022
06/24/2022
Michael Tarlton � ---1
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT .•LY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appeat'�fltiv ance�dlru
Kordell Bailey L
Address(number and street) Address(number and street)
329 S.Fifth Ave %,17 2022City.slate.and ZIP Code City.state.and ZIP Code •
Princeton,IN 47670 !ice L AFOCountry Country ytg NCC)"
US
{ E-mail adndrenss
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 ® 0 3. Homestead
® 0 residence? 0 (g 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 a 5.Wind Power Device
O � for this residence? If yes,provide address: o f. 6.Hydroelectric Power Device
Address( umber and street) 0 Q 7.Geothermal Energy Heating or Cooling Device
ka
City,state.ZIP code.and county ,Qf /\ - O (-r-W 12 1 -0 ZZ
b p O3-000
Under penalties of perjury,I hereby certify that 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.(Note:Both spouse's
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