Homestead_Margerison H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina Gourley Title Clerk
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714 I.SELLER(S)/GRANTOR(S) F T 1 t /F,D
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Jeddidiah D. Booker Phoenix D. Booker DEC 2 12022
Address(number and street) , Address(number and street)
C)a Ica A WZ. A-2 . .5r�
City,state,and ZIP Code City,state,and ZIP Code ,,,44,,f a, ilicd Nun
—)n-;isC 1.4,-,v` T,J* �� LA -1,(.91 0 GIBSON COUNTY AUDITO
Country Country
E-mail address
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.
SignaWre of Seiler Signature of Seller� l L&�k k)
Printed Name of el� t Date signed(mm/dd/yyyy) Pri ted am of
Seller Date signed(mmldd/yyyy)
Jeddidiah D. Booker 42.— a� .zo1 Phoenix D. Booker , ); -�5v,�
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
Daniel Margerison Amanda Margerison
Address(number and street) Address(number and�street)
l sstl k \'UY-,Y't �. l E J ` tb.rvf'.. ...
City,state,and ZIP Code City,state,and ZIP Code
l r'1 n c-c_ A-or, t -N) t 1 (p'"j,U Pr;v•c a-o,r, , -- N 1--17 (.Di-Z D
Country Country
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES�t NO CONDITION
1�f 1.Will this property be the buyer's primary Of 0 3.Homestead
!� residence? 0 O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
O for this residence? If yes,provide address: p C) 6.Hydroelectric Power Device
Address(number and street) 0 C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county a�1
t,-12 -0-(-30c1- o„.__ st.1 Z- 024
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete