Homestead_Morton H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey Escrow Officer
Company
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Joshua L. Stevens
Address(number and street) Address(number and street)
307 E Vine St
City,State and ZIP Code City,State and ZIP Code
Fort Branch, IN 47648 ,
Country Country
United States of America
E-mail address Telephone number E-mail address Telephone number
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.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Joshua L. Stevens
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT A
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on con /ce do
Kathy R. Morton ��•/
Address(number and street) Address(number and street) SEp <����✓JJ
10083 W 565 S , 0 2022
City,State and ZIP Code City,State and ZIP Code "'I.-
zee,
IN 47665 Gift ON o j,/ /
Country Country yq
deductions.Identify all of those that apply:
YES NO CONDITION Y^ES/ NO CONDITION
0 1. Will this property be the buyer's primary residence? t]ir ❑ 3. Homestead
/ IDlE 4. Solar Energy Heating or Cooling System
LY ❑ 2. Does the buyer have a homestead to be vacated for this ❑ V 5. Wind Power Device
residence? If yes,provide address: IDf� Hydroelectric Power Device
Addrell(Dumber and street) � c El Dr . Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and J oun
Cv\reX\,CviLVO , IN t'41c, h - OOLScAn 2 — 7— ( — 3c;.3-cam_ aq7 -o a-(,
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