Homestead_Avery H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
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
Lonnie J. McFadden
Address(number and street) �^ Address(number and street)
t (DaS tr / -2" 'i w 5 City,state,and ZIP Code
City,state,and ZIP C e C`` - y-7(o(v
Country CountryUS
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.
S natyrye of Seller ry�� p�pp,� Signature of Seller
/v. /2/ Printed Name of Seller I Date signed(mm/dd/yyyy)
Pr ted Name of er Date signed(mm/dd/yyyy)
Lonnie J. McFadden 10/21/2022
J. BUYER()/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL AT APPLY
Buyer 1—Name as 1 pears on conveyance document
Buyer 2—Name as it appears on conveyanc>cWf e�Andrew Avery ED
Gress number and street) Address(number and street)
801 West School Street QCT 4 2
City,state,and ZIP Code City,state,and ZIP Code 022
>2y,
Francisco, IN 47649
Country GI `2cC
Country US BSON CO/livT' `-% ,,:
used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION Y
1.Will this property be the buyer's primary
3. Homestead
O � residence? 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
0 for this residence?If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 ll 7.Geothermal Energy Heating or Cooling Device
�1/
City,state,ZIP code,and county _/ ? it7/�J0 �Q/ 3'7� i�i
of 5 CP