Homestead_Tucker 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
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on document
Big Creek Farms Inc., an Indiana Corporation 111N (rl /LT,�
Address(number and street) Address (number and street)
970 W. 1150 S. AUG
City, State and ZIP Code City, State and ZIP Code 9 2022
Lagoda, IN 47954 ,
Country Country GIBSON CO y AU
United States of America
DITOR
E-mail address Telephone number E-mail address Telephone number
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of 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.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Bill Woods, Business Owner 8/2/2022
J. BUYER(S)IGRANTEE(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
Conner Tucker Reagan Tucker
Address(number and street) Address (number and street)
154 Ambridge St. _154 Ambridge St.
City, State and ZIP Code City, State and ZIP Code
Oak Grove, KY 42262 Oak Grove, KY 42262
Country Country
United States of America United States of America
E-mail address
to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION ,.
RI CI1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
.tom
0 0 4. Solar Energy Heating or Ct901111g System
0 0 2. Does the buyer have a homestead to be vacated for 0 0 5. Wind Power Device
this residence? If yes, provide address:
0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Deice
City, State,ZIP code, and county
a6-I(-15 aoa - oc 9 - -26,-7 -cook-)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SSN: SSN:
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