Homestead_DeHaven H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Michael T.Armstrong
' Address(number and street)
Address(number and street)
� i
City,state,and ZIP Code / City,state,and ZIP Code
n�'flNJ-- `'; 1 '►-e ✓ /t/
Country Country
US US
E-
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.
gnature of Seller. Signature of Seller
�i '
n to Name of S Ile a signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Michael T. Armstrong 1 /28/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENT1Y LIW AT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it a rs n c n nce document
Hunter James DeHaven ��
Address(number and street) Address(number an ree `LD Y'c-`
1477 North County Road 825 West C ,PN`J ' i/ �
City,state,and ZIP Code City,state,and ZIP Code Y' 12Y 0
Hazleton, IN 47640 Pv
Country Country ` ,L ,, t
US US NG
E-mail address A /�
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 C) O 3. Homestead
O O residence? 0 O 4. Solar Energy Heating or Cooling System
_1 2. Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device
O 1�61, for this residence? If yes,provide address: 0 p 6. Hydroelectric Power Device
Address(number and street) O O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
-V-Ci—°Vi -CV-e-X-A Q.1 -L`_ t ; -__ •atc- (0\1
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
5Iii GC)? V`