Homestead_Hightshoe (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Amanda Daly Settlement Agent • _ _
Company
Address(number and street.city.slate.country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,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
Lisa M.Whitehead
Address(number and street) Address(number and street)
582 W Glendale Street/584 W Glendale Street
City.state.and ZIP Code City.state,and ZIP Code
Princeton,IN 47670
Country Country
US
E-mail address �f Ip
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.
S' n t e of Seller �, _-1, `' Signature of Seller
l /- i1 1"T�JVL_ U
Printed Name of Seller , Date signed(mm/dd/yyyy) Printed Name of Seller m 4.„, Date signed(m /dd/yyyy)
Lisa M.Whitehead 07/07/2022 _ 07/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY A T ATT i LY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conv/'ance �
Andrew Hightshoe .e Q
Address(number and street) Address(number and stir r 8Zt71?
1704 Brentwood Dr •
City.state.and ZIP Code -- City,state,and ZIP Code CUvti7 .-
I Princeton,IN 47670 Al -
Country Country •roR
US
E-mail address
for certain deductions_Identify all of those that apply:
YES NO CONDITION YE NO CONDITION
rD 1.Will this property be the buyer's primary O 3. Homestead
-
residence? Q (Z 4. Solar Energy Heating or Cooling System
O 2.Does the buyer have a homestead to be vacated 0 Q 5. Wind Power Device
for this residence?If yes,provide address: p a 6. Hydroelectric Power Device
Address(number and street) 0 7.Geothermal Energy Heating or Cooling Device
City,state.ZIP code,and county
` -11-01 -I- 0t4-Oc?! - 7OC -O Z-Y
5