Homestead_Anderson H. PREPARER
Preparer of the Sales Disclosure Form TitleEscrow Officer
Matthew Jarvis \
Southwestern Indiana Land Title
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
Cathy A. Nossett
Brian D. Nossett
Address (number and street) Address (number and street)
2272 E. Presley Dr.
2272 E. Presley Dr.
City, State and ZIP Code City, State and ZIP Code
Haubstadt,
IN 47639 IN 47639
Country
Country
United States of America United States of America
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.
ign ude of Selle
Sigrlc�re of Seller /� /y�)� I
�t .,r� ' l Printe Name a Seller Date signed (mm/dd/yyyy)
Printed Name of Seller Date signed (mm/dd/yyyy) 11/9/2023
Brian D. Nossett
11/9/2023 Cathy A. Noss- t
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALLi
LY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears o o e n e o u
Di
Richard Lewis Anderson
Address (number and street) Address (number and street) JAN 1 3 2023
159 Ridgewood Lane
City, State and ZIP Code City, State and ZIP Code
Greenville, KY 42345 Country C ' �
Country GIBSON COUNTY AUDITOR
United States of America I Telephone number
be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
p ❑ 1. Will this property be the buyer's primary residence? 0 3. Homestead
O El 4. Solar Energy Heating or Cooling System
0 421 2. Does the buyer have a homestead to be vacated for 0 21 5. Wind Power Device
this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device
Address (number and street) ❑ t 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and county "1(e - 3^ //' - ,Doc,_ OO (- s36D c.c.)`/
edge and belief,is true,correct nd
COPY
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