Homestead_Owen H. PREPARER
Preparer of the Sales Disclosure Form I Title
Amy B. Pollard { Settlement Agent
Company
Address(number and street.city.state.country.and ZIP Code)
7820 Eagle Crest Blvd,Suite 201, Evansville, IN 47715
I. SELLER(S)/GRANTOR($)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Joshua A. Fouts
Address(number and street) Address(number and street)
1234 E Taftown Road
City,state.and ZIP Code City.state.and ZIP Code
Princeton,IN 47670
Country -- - i Country -- -F-"L ---
person who knowingly and intention ayatie6 t41E v t ferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. GIgSON COUNT - --_
Signature of Seller Signature of Seller
rifted Name of Seller Date signed(min/dd./yyyy) Printed Name of Seller Date signed(mrnlddiyyyy)
Joshua A. Fouts 11/01/2022 11/01/2022
L.J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Amanda P.Owen Randall D.Owen
Address(number and street) Address(number and street)
508 E.Montgomery St. 508 E.Montgomery St.
City,state,and ZIP Code City,state,and ZIP Code
Owensville,IN 47665 Owensville, IN 47665
Country - Country
US
(XI 01. Will this property be the buyer's primary Y' 0 3. Homestead
residence? 0 IX 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 5.Wind Power Device
for this residence?If yes, provide address: f 6.Hydroelectric Power Device
dross{nunzlbor anti s7et)
CO` C /9�I�t^������� f 0 ($ 7.Geothermal Energy Heating or Cooling Device
it state.ZIP code,and aunty �(1
l t_ e.r\ Vi II-e'/ �'� `I-7Le6S ZC-12.-os- yoo _ 00O - 2g6-o2R- .
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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