Homestead_Riddle (2) 1 H. PREPARER
1 Preparer of the Sales Disclosure Form I Title
Amanda Dal i Settlement Agent
I Company
Address(number and street,city.state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S•)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyor do m t ]\
Roger A.Ballard Lana K.Ballard
�/
Address(number and street) Address(number and street) AU �Z�J
1441 N State Road 65 - _ • 1441 N State•Road 65 • G 8 0
City,state,and ZIP Code City.slate.and ZIP Code
Princeton,IN 47670 - - T Princeton,IN 47670 G/QSOib-CO Count
ry Country
U/yT,y`
US US 141/bI
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 he provided,commits a Level 5 felony_
Signature ofSeller Signature of Seller
Printed Name of Seller Date signed(mm/ddfyyyy) Printed Name of Seller I Date signed(mrn/dd/yyyy)
1_Roger A_Ballard L 08/24/2022 Lana K.Ballard 08/24/2022
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
Christy D.Riddle
Address(number and street) Address(number and street)
1224 W.Mulberry Street
City,state.and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country Country
US
1
apply for certain deductions.Identify all of those that apply -_ _ _
YES NO CONDITION YES NO CONDITION
® O 1.Will this property be the buyer's primary 0 0 3. Homestead
residence'? 0 M 4.Solar Energy Heating or Cooling System
tg- O 2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence? If yes,provide address: 0 a 6. Hydroelectric Power Device
Address(number 49,11 street) 0 (M 7.Geothermal Energy Heating or Cooling Device
2Let W. Met)beit'll 49.
Criivslate.ZIP code,and county
rri n cc/on /A/ 41707f) O.bs oY, 1 a 6-I L-0C- 100 - o tLi. Sit g. - 0 2 4- .
^ a. f F
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