Homestead_Bartell 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(5)/GRANTOR(s)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance documFILED
William Brett Wayman Monica J.Wayman
Address(number and street) Address(number and street) MAR 0 3 2023
2350 South 1250 East 2350 South 1250 East
City;state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660 /i,,, J/p
Country Country GIBSON COUNTY AUDITOR
US USS
E-mail address N
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.
Si natur Iler Signature of Seller
74)7
Printed Name of Seller Date signed(mm/ddlyyyy) rinted me of Sei Date signed(mm/dd/YYYY)
William Brett Wayman 02/17/2023 Monica J. Way an 02/17/2023
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
Janessa D. Bartell
Address(number and street) Address(number and street)
504 South Center Street
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648
Country Country
US 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 YES NO CONDITION
O O 1.Will this property be the buyer's primary 0 0 3.Homestead
residence? 0 0 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
for this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
6 -t 7 l`�--l d ;- Oct- a,.(41.
Last 5 of SSN:
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