Homestead_Deal (9) H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx 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
Estate of James G.Winstead T
Addrl _ er arlc�street) s on I no Address(number and street) l/�
City, to n ZIP Cod City,state,and ZIP Code O
1 LptfiJS
Country Country CT 2g 02
1)
US Of Z
E-mail address •V a
the best of my knowledge and belief,Is true,correct ' to as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the val gikit ansferred
real pro erty,oromits or falsifies any information required to be provided,commits a Level 5 felony.
tur ell r Signature of Seller
Printed Name of Seller Datd signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
David E.Winstead Personal Representative 10/20/2022
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
Angelina L. Deal James W. Deal
Ad (qu n7yer aSstreet)loop t`1 / Add[sq�{ny{n r ar treet) � (�
City%�.%d�,ZL PSC4 , 1 1 `'J v� '�J4q V' a.( J City,s''t ✓C✓faind P Cod v 1'-C ✓ 1 ' /
Country /�(/y L �/ y 1 v Country
US US
YES NO CONDITION ES NO CONDITION
1.Will this property be the buyer's primary Cl 3. Homestead
El 0 residence? C) 4. Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 CI 5.Wind Power Device
for this residence? If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county ot_UZ -. I -1`r - aQQ_ cO i 'q y _ a'
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
transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's
Page 3 of 5
oremar:, Watson Land Title, LLC
7412 Eagle Crest Blvd
Evansville, IN 47715