Homestead_McIntyre Jr 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 on conveyance document
Marco T. Barillas, II Haylee A. Barillas
Address(number and street) Address(number and street)
3s3 &'.- RcJ 25Dt, S Co 1Zel Z.SD S
City,state,and ZIP Code City,state,and ZIP Code
Le-,40,l I-Al 4/7 4/L// Slk I(-Not n , l tQ 4-I4 as 2-
Country Country
E-mail address
who knowingly and intentionally falsifies the value of transferred
real property,or omits or f es any information required to be provided,commits a Level 5 felony.
Signature of Sell Signatur of S ler (n
Printed N a f er Date signed(mm/dd/yyyy) Printed N e of Seller Date signed(m,m/dd/yyyy)
Marc rifles, II &12-i/VZ Haylee . Barillas 0to/2t/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
Ronald Leon McIntyre,Jr. Starr Tecson McIntyre
Address(number and street) Address(number and street)
�� zo I n! S�'h mot_
City,state,and ZIP Code ,/]/l �, City,state,and ZIP Code
{ 1 (2ri r;i s-,-wv , T 1�I. �f'1 Ct i!)
Country Country
E-mail a s
YES NO CONDITION YE NO CONDITION T
1.Will this property be the buyer's primary O 3.Homestead F IL f1-1/
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 JUL 0 5 2022
0 for this residence? If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy t 'cxliii)cai
6 GIBBON COUN
City,state,ZIP code,and county q(- l 11 ^ 12_ t Q 3-0 00 9-9-2- - 'o2
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the bestmy knowledge and belief,is true,correct anTd complete
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