Homestead_Hunt H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Oberg Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on cony a�dorme
CORY W. VINNEDGE 11
Address(number and street) Address(number and street) w 1�
/
City,state,and ZIP Code City,state,and ZIP Code NEW 1-6 2.022 \?
Country Country (thee/tee" a. .r �.4.;,
GIBSON COUNTY AUDITC,
JI
Under penalties of perjury,I hereby certify 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 transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller C� Signature of Seller
P74rin,"Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
CORY W VINNEDGE (October 14, 2022 ,October 14, 2022
—
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
PATRICIA A. HUNT _
Address(number and street) Address(number and street)
118 N 2nd Avenue
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660-1006 _
Country
Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES O CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 3. Homestead
LLL���JJJ ❑ residence? 0 Er4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated L� W. d Power Device
0 L❑ El
this residence? If yes, provide address: 0 ydroelectric Power Device
t
O Address(number andstreet) El 7.Geothermal Energy Heating or Cooling Device
CD es7es-21 N. n
Ci state,ZIP code,and coun
'0 X' ejq fan j V 4f ›e.t,V PI D-C—\3j — 402 - 000 -z31--o 0.4-
i Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
t.---Th 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
Q transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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