Homestead_Poettker III H. PREPARER _
Preparer of the Sales Disclosure Form Title
Christina Gourley Title Clerk
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S) �
Seller 1-Name as it appears on conveyance document Setles 2-Nape as appea s on cony nc o i
Michael Young, Jr. L yy, 1 0 td Y`�
Address(number and street) Address(numb rand tree[) AUG 3 -0 2022
to g9 s- N 7 a 541--- S.t- 5 ct.wt
�'if state,and ZIP Code C,J City,state,and ZIP Code
fK0 1 aA T2—L. (.\ / 2— P q / CountryG ON,,COUNTY AUOITQ..
CountryUSA
E-mail address
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 Le 15 felony. _
Signal r oaf eller Signay of Sell
if• a
Printed Name of Salve Date signed(mm/dd/yyyyJ Printed
ted N Nam Sall Date signed(mmldd/yyyy)
Michael Young Jr. 8-,;1;- _, ) Emily Y ng 8—a3:20.2.2
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
Gerhard Henry Poettker, Ill Lori Sue Poettker
Address(number and street) Address(number and street)
)0(o (o tw ) 17 `7V 73
City,s te.and ZIP Code City,state,and ZIP f
O`-k 1 r cx Cl,-., , :IN /--I.-7 6.,L). c.J4(r\-(2-----/
Country Country
U7 Pc
E-mail address
(3u)5-0)-4.230
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
O 1.Will this property be the buyer's primary 0 3. Homestead
residence? 0 C) 4.Solar Energy Heating or Cooling System
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 p 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
-t6- 01-300-002. (09 - 02—
Under penalties of perjury,I hereby certify that 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
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