Homestead_Adler (9) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey 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
Stephanie Wilkerson FILED
Address(nua mber and street) Address (number and street)
592 E. 1025 S. °
City, State and ZIP Code City, State and ZIP Code DEC 3 0 2022
Haubstadt, IN 47639 '
Country Country cam_ ��� �
United States of America GIBBON COUNTY AUDITOR
E-mail address
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.
Sign of Seller , ! Signature of Seller
Printed Nam of Seller D si r}ed, (mm/dd/ yyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Stephanie M.Wilkerson ` W
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
Armon A.Adler
Address(number and street) Address(number and street)
4020 Cobblefield Dr
City,State and ZIP Code City, State and ZIP Code
Cbp
Evansville, IN 47711 '
Country Country
United States of America 4fr
E-mail address
used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES/NO CONDITION
0 1. Will this property be the buyer's primary residence? �j ❑_�/�'3. Homestead
❑ C]✓4. Solar Energy Heating or Cooling System
�❑ 2. Does the buyer have a homestead to be vacated for ❑ 5. Wind Power Device
this residence? If yes, provide address: ❑ ........
Hydroelectric Power Device
Address(number ands t) p 0 l l 7. Geothermal Energy Heating or Cooling Device
402 (C0 nl_ CO D
City,State,ZIP code, and county �_r2J ,r�Z_`�,_Q� s p�p _0�4 `
v Cti. \ C_ - / ' �7Th\ \ \� 'I d. �}o`(i_� tJ
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's