Homestead_Ball 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
Nathan G. Howell Angela L. Howell
dress(number and street) Address(number and street)
V 0 RSCVC 147 .
ty,state,and ZIP Code City,st P d
ux.1 \A 1 l 0 t }N 4-1 .0(-4 C-
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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 S 1 r nature of Seller Via
0
Printed Name of eller ' Date signed(mmldd/yyyy) Printe • ame of Seller Date signed(mm/dd/yyyy)
Nathan G. Howell '7( (-4 2 1__ Angela L. Howell I' (2L
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
Halee Ball
Address(number and street) Address(number and street)
1otaS 1.(n.
ty,state,and ZIP Code City,state,and ZIP Code
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Cotuntry [` Country mirl
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apply for certain deductions.Identify all of th-I
� hat ply: til
YES NO CONDITION 7 t-.."
YES NO CONDITION C p ry
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V O �1.Will this property be the buyer's primary I 0 3.Homestead C_�"
residence? �'
O O 4.Solar Energy Heating or ling System
O L�3, 2.Does the buyer have a homestead to be vacated 0 D 5.Wind Power Device
for this residence?If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
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