Homestead_Biber H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street, city,state, country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears o conveyance document
Jacob M. Freeman
Fsddress(number d sin)etd Address(number and street
UJ
_17O' NULat/
state,anP Code ����r•7 City,state,and ZIP Code
Country 1 r`i/] -Country 4 8 2023
USA
best of my knowledge and belief, s tr'`i � 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 value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
Prin Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jacob M. Freeman February 17, 2023 February 17, 2023
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
Nikolos J. tidts *,Biber Megan R. Biber
Address(number and street) Address(number and street)
501 North Main Street 501 North Main Street
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
USA USA
1.Will this property be the buyer's primary QX Q 3. Homestead
Cresidence? 111 0 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ El 5.Wind Power Device
El for this residence? If yes, provide address: 6. Hydroelectric Power Device
Address(number and street) ❑X 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
4-1l--ol-1401-1-0 . 019 —o22
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
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