HomeMy WebLinkAboutHomestead_Atchison (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Steven T.Charles Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
4828 Lincoln Ave., Evansville, IN 47715
I. SELLERS)/GRANTOR(S) T
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on convnc�d ume
Benjamin O.Atchison,Jr.,Trustee Mary J.Atchison,Trustee 11
Address(number and street) Address(number and street)
106 E.Mulberry St. 106 E.Mulberry St. OCT 31 202'
City,state,and ZIP Code City,state,and ZIP Code r!��_� � � ����,�
Ft. Branch, IN 47648 Ft. Branch, IN 47648 I',As+ a. 1if4�X.Q..v+a
Country Country GIBSON COUNTY AUDITOR
USA USA
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.
Signature of Seller Signat re of Seller
X 23 a leAs6:7 /yam �A o
Printed of Seller Dat¢ d(mm e/dd/yyyy) Prince Nam of II W� Date signed(mm/dd/yyyy)
Benjamin O.Atchison,Jr.,Trustee 10/7/2022 Mary J.Atchison,Trustee 10/7/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS—I r ii LL LY
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 _ ® — D 3. Homeste
AV
0 residence? D El 4.Solar Energy Heating or Cooling System
0
El 2.Does the buyer have a homestead to be vacated 5.Wind Power Device
for this residence?If yes,provide address: 0 ElEl 6. Hydroelectric Power Device
Address(number and street) D 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
).G -/ 9.AV - .1 '.t - DO 2. .035-0J.
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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