Homestead_Thorpe H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appveyance document
Estate of Calvin L. Cooper
Address(number and street) Address(number and street)
-4e
City,state,and ZIP Code 11 ^, City,state,and Code 17
Ql"�S, .� l'(� l�l 7 f `) Country C�aS �O2 �J'
Country OAr USA COfi "—A—
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 //�v_� ` Signatureg of Seller
Printed a of Seller Date signed" /(mm/dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
By:Tammy Brown,Personal Representative if'cj . .`�
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
Jonah Thorpe
Address(number and street) Address(number and street)
516 South Walnut Street
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660
Country Country
USA
for certain deductions.Identify all of those that apply:
YES NO CONDITION - YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
O O residence? 0 O 4.Solar Energy Heating or Cooling System
Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O J"1 for this residence? If yes, provide address: o 0 6.Hydroelectric Power Device
Address(number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county �j(o `g,—� — 10 2-000.2Tht— o 0*
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