Homestead_Crisler H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Northwoods Capital Group LLC, a Florida limited liability company T T T
Address (number and street) Address (number and street) 1�"1 l i
ED
13866 Vance lane
City, State and ZIP Code City, State and ZIP Code NOV 2 2 2022 C\
Manitowish Waters,WI 54545
Country Country ]
United States of America ' "" " 4.e.11
CIBSON COUNTY AUDITO.
E-mail address Telephone number E-mail address Telephone number
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 Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Jane Dietz, Manager
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
Shawn Crisler
Address (number and street) Address (number and street)
1461 New Grove Rd.
City, State and ZIP Code City, State and ZIP Code
Smiths Grove, KY 42171
Country Country
United States of America
E-mail address Telephone number E-mail address Telephone number
shawncrisler@gmail.com (765) 639-6524
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
Q El 1. Will this property be the buyer's primary residence? Q ❑ 3. Homestead
❑ Q 4. Solar Energy Heating or Cooling System
❑ Q 2. Does the buyer have a homestead to be vacated for ❑ Q 5. Wind Power Device
this residence? If yes, provide address:
❑ Q 6. Hydroelectric Power Device
Address(number and street) 0 Q 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and county
(CI—400 -000 Z3\-006.
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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