Homestead_Frederick 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
Philip Glover Pamela Glover
Address(number and street) Address(number and street)
/ash 5: a0 U 41. I P-V4 .20 W
Cit ,state,and ZIP Code Cat ,state,and ZIP Code
-Pri hce trr,J Tl\1 q 7l 476 viiiiie elan , ZA/ Li701I U
Country Country
US US
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signs f Se r Sig ture of Seller
r
ri�Name iff Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Philip Glover o2./i-1Iaoz3 I Po. ,,wla GI°vcr oz/I7/zoz3
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
Dylan C. Frederick
Address(number and street) Address(number and street) FILED
2150 S Richland Creek Drive
City,state,and ZIP Code City,state,and ZIP Coder )
Princeton, IN 47670
Country Country 1 tli 2 2 2023
apply forcertain deductions.Id, fl SJ(jX)bitirthatilOPR
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary 0 O 3. Homestead
Cl residence? O 0 4.Solar Energy Heating or Cooling System
O N.a 2. Does the buyer have a homestead to be vacated O 0 5.Wind Power Device
for this residence?If yes,provide address: O 0 6. Hydroelectric Power Device
Address(number and street) O 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county ® , o 6 -
DO1
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
Last 5 of SSN:
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