Homestead_Luebke H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Zeke Corbie Wilson
Address(number and street) Address(number and street)
2069 S. 1200 E
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660 ,
Country Country
United States of America
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 property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
„Signature of Seller Signature of Seller
Printed N o Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Zeke orb' ilson 9/7/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APP.,
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on con ' nce
Christy A. Luebke 1 .,...6
Address(number and street) Address (number and streets''B 2_0�
567 West Private Road 925 South SO4. -
City, State and ZIP Code City, State and ZIP Code v;,.r
Oakland City, IN 47660 q,
Country Country 0, -
United States of America
E-mail address
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence? 0 0 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ El 2. Does the buyer have a homestead to be vacated for 0 0 5. Wind Power Device
this residence? If yes, provide address:
❑ 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county