Homestead_Tapley H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N Hart St, PO Box 13, Princeton, IN 47670
I. 1 -SELLER(S)/GRANTOR(S) F T hE T
Seller 1 Name- as it appears on conveyance document Seller 2-Name as appears on con y nc d um r■�--i �,.J■
Jerry Lee Basham Tamara S. Basham
Address(number and street) Address(number and street) AUG 2 9 2022
2041 Short Drive 2041 Short Drive �1
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47725 Evansville, IN 47725 ems_�tcc_/.� & /
Country Country f
VANDERBURGH VANDERBURGH GIBSON COUNTY AUDITOIti
real props or omits r falsifies any information required to be provided,commits a Level 5 felony.
Signal of Iler Sign ure of Seller
h k ddr7Liier, )i- d 2f A 2 f 7
Prince me Seller I Date signed(mm/d/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jer ee Basham �fLY ze.e.2 Tamara S. Basham y ��5C/,�
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIF H APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it ap eats con a ment
Melvin Tapley 1
Address(number and street) Address(number and set)
131 S Franklin St G 6 20`j-Z
City,state,and ZIP Code City,state,and ZIP Code PU
Oakland City, IN 47660 ��
Country Country ` `�'``Gc�N�y` 101°
GIBSON
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary CIO 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
O O 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: O O 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
_c;6e.- 1L1-1g 3p1- 000. c3 1-Oo-7
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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