Homestead_Rochleau H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 F�T,I. SELLER(S)/GRANTOR(S) L
Seller 1 — Name as it appears on conveyance document Seller 2—Name as it appears on conveyance docu
Mark Alan McDowell Susan Jane McDowell Froyd C' AUDGUNN 0 8TY�
Address (number and street) Address (number and street) 20
5386 Old Highway 41 North 5386 Old Highway 41 North IBSON.A AD/ )
U DITOR
City, State and ZIP Code City, State and ZIP Code
Patoka, IN 47666 Patoka, IN 47666
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 falsifies the value of transferred
real property,or omits falsifies any information required to be provided, commits a Level 5 felony.
yio,( pf,g le ���/1C gna re of S r `mac
Printed Name of Seller Date signed (mm/dd/yyyy) Printed Nam Seller ®ate signed (mm/dd/yyyy)
Mark Alan McDowell 7/29/2022 Susan Jane McDowell Froyd 7/29/2022
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
Greg Allen Rochleau Kelly Ranae Rochleau
Address (number and street) Address (number and street)
1356 S Old State Rd 65 1356 S Old State Rd 65
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
E-mail address
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
E ❑ 1. Will this property be the buyer's primary residence? Ikl ❑ 3. Homestead
❑ t 4. Solar Energy Heating or Cooling System
❑ II 2. Does the buyer have a homestead to be vacated for ❑ 5. Wind Power Device
this residence? If yes, provide address:
❑ IZI .6.
Hydroelectric Power Device `
Address(number and street) 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and county
aC.0--0ci -(3-ate - 600.Ds1--61.-8
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and complete
.