Homestead_Weeks Jr H. PREPARER
Preparer of the Sales Disclosure Form
Title
Gwyn Shaw 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
Quinten L.Might Veronica L.Might 7•
Address(number and street) �� • Address(ember and street)
Z (C A- . ,&4 . .-, sr.
City,state.and fZIIP Coded�1--
{. _I -7^'/� /�7 c,
f� C4it J S 1 w+"t L/ ✓ I /(p 1 C N,state,and ZP Code
Country Country
United States of America United States of America
E-mail address
required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifiers the value of
transferred
real property.or omits or falsifies Information required to be proylded,commits a Level 5 felony.
S� SeY r J
Sip d K
Printed Name of Seiler Date signer ) Printed Named Seller I Date
Quinten L Might f�_ Q7 2 Veronica L.Might r
J. BUYER(S)/GRANTEE(S)-APPLICATION FO PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document jq Buyer 2-Name as appears on conveyance d
Ryan Richard Weeks,Jr.
Address(number and street) Address(number and street)
301 S.McCreary Street JULCity,state.and ZIP Code City,state,and ZIP Code C 0 7 2022
Fort Branch,IN 47648
Country Country
United States of America United States of America GiBSON co .Lk-
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
. V 0 3.Homestead
0 1.Will this property be the buyer's primary residence? 0
Ei 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated for 0 0 5.Wind Power Device
0 this residence?If yes, provide address: 0 El 6.Hydroelectric Power Device
Address(number and street) ❑ EI 7.Geothermal Energy Heating or Cooling Device
City,state.and ZIP Code County a/ ,_\ g ,2L' _ 2 2_ -0 CO . 07-1 -o26