Homestead_Hall (2) 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
Terrance W. Powers Tracy L. Powers
Address(number and street) Address (number and street)
1436 S. SR 57 1436 S. SR 57
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country
United States of America United States of America
Under penalties of perjury, I hereby certify 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 transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
``Si n f Seller _�ignat'�r�,gfi eller
"'leg ' / 5-`2.-(-,- ^T � C
Date signed(mm/dd/yyyy) Printed Name o eller Date signed (mm/dd/yyyy)
Trinted Name of Seller 9/16/2022 Tracy L. Power 19/16/2022
Terrance W. Powers
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 veyance document
Bradley D Hall Melanie K Hall rL I
LED
Address (number and street)
Address (number and street)
1502 Birch Ct. 1502 Birch Ct.
City, State and ZIP Code City, State and ZIP Code SEP 2
Milton,WA 98354 Milton, WA 98354 2 2022i�1
Country CountryC
United States of America United States of America/BSON 0 .z., V.t" _
E-mail address
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
p ❑ 1. Will this property be the buyer's primary residence? O 2 3. Homestead
4. Solar Energy Heating or Cooling System
❑ IZ 2. Does the buyer have a homestead to be vacated for 0 RI 5. Wind Power Device
this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device
Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county
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