HomeMy WebLinkAboutHomestead_Sloan (10) H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Christopher Marsh Misti D. Marsh
Address(nu�ber.�r}d streety.-__(„ ,,`O c)a '. - Address(num�ef anq,strpet) 1 I "\M��I •
City,state, (�fin /J1 CJ��d�o ) I 4�]ce^]T City,state,an lY �� r �t
Country Jy�r I ( t V / / V Country
US US
E-mail address �}
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 prope r omits or falsifies any information required to be provided,commits a Level 5 felony.
(�[�g)natur elleF ature of Sell r
\��.3
Prin Name of eller to signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Christopher Marsh 09/02/2022 Misti D. Marsh 09/02/2022
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
Madelyn Grace Sloan FILED
Address(number and street) Address(number and street)
1765 North Old Bruceville Road
City,state,and ZIP Code City,state,and ZIP Code SEP 0 9 2022
Vincennes, IN 47591
Country Country e
US US /�1<</zac1 a / ef.Q:„u
YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
Cl 0 residence? 0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O X. for this residence? If yes, provide address: O Q 6. Hydroelectric Power Device
Address(number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county /a- /x✓�_/D a - cw, y 5 e O_v
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 of SSN:
Page3of5 ^"