Homestead_Bartlett H. PREPARER
Preparer of the Sales Disclosure Form Title
Leon C. Stone President
Company
E-mail address
Address(number and street,city,state,country,and ZIP Code)
226 West Broadway Street, Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Rylee Bradshaw
Address(number and street) Address(number and street)
307 S.Vine Street
City,state,and ZIP Code City,state,and ZIP Code
Hazleton, IN 47640
Country Country
United States of America
E-mail address
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.
Sign7of Se r Signature of Seller
Printed me of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Rylee Bradshaw /Q-,2-1- al_ 4 T
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFFL T AT 4Plti
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on co a n a
Steven J. Bartlett c ��
Address(number and street) Address(number and street) OCT 2 4 2022 v
3208 Crossbow Lane
City,state,and ZIP Code City,state,and ZIP Code eti -4,ti f a. .-'
Evansville, IN 47715 pID:OPJ COUNTY AUDITOR
Country Country
United States of America
E-mail address
to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary Cl0 3. Homestead
O O residence? 0 CI 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 CI 5.Wind Power Device
CIO for this residence? If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county gk--t (-` Z�300��o0-33-0��
V
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
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