Homestead_Higgins H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
1687
Address(number and street,city,state,country,and ZIP Code) FILED
226 W Broadway St, Princeton, IN, USA, 47670
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyancVim1nt:4 202
Andrea C. Heath Jane E. Snyder
Address(number and street) Address(number and street) �
206 S Third St 206 S Third St %hec44 r_,1 a. t =
City,state,and ZIP Code City,state,and ZIP Code GIBSON COUNTY AUDI I Ur
Owensville, IN 47665 Owensville, IN 47665
Country Country
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
ter•, Sign of Seller
Printed Name of Iler Date signed(mm/dd/yyyy) Pr d Name of Seller Date signed(mm/dd/yyyy)
Andrea C. Heath Il I 1 12()9 2 Jane E. Snyder f//. j1 o �
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Na{rig as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Kaitlyn E. `( I�` Payton A.Adkins
Address(numbe street) Address(number and street)
1900 E 1200 S 2400 Schlensker Road
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639 Evansville, IN 47725
Country Country
USA USA
E-mail address
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used 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 0 0 3. Homestead
O O residence? 0 0 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
0 O 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 3(_ -\- - 12- 2 Z S -0Z .Z
dv T -���
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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