Homestead_Leek H. PREPARER
Preparer of the Sales Dis losure Form Title
Ict,
Title Company
Company
Address(number and street.city,state.country.and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document 1 Seller 2—Name as appea rs dnconv- e n-c i
David W.Hudnall I Nancy L.Hudnall
Address(number and street) Address(number and street) MAR 0 2 2023
1004 E Evans Street 1004 E Evans Street
City,slate.and ZIP Code City,stale,and ZIP Code
Princeton,IN 47670 Princeton,IN 47670 "
.
Country Country GIBSON COUNTY AUDITOR
US US
,.....A.-mail address —,,
N/A ( ) 5471i.e._
I 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. \ -
?ig atur of Setter 1r ature711 r '
-^7J
• al/• e7/77(24
Printec,, ame of Seller Dal,s' d ogoictlyyyy) Printed Nam of Seller Date signed(mmidd/yyyy)
David W.Hudnall — -163
Nancy L.Hudnall 02/23/2023
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
Robert Allan Leek
Address(number and street) Address(number and street)
507 A Elm Street
City,state,and ZIP Code City,state.and ZIP Code
I Rockville,IN 47872
Country Country
US
( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YE NO CONDITION
1.Will this property be the buyer's primary 0 3. Homestead
rLi( 0 residence? 0 t 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 2 5.Wind Power Device
for this residence? If yes,provide address: 0 fjb 6.Hydroelectric Power Device
Address(number and street) a rg 7.Geothermal Energy'Heating or Cooling Device
City,state,ZIP code,and county
ta -1 2-0 S - S GI—0 0 1 .14 I 3 -o 2S .
I Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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