Homestead_Williams (49) H. PREPARER.. _
Preparer of the Sales Disclosure Form Title '
Megan Boger Escrow Offider
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715 —
I:'SELLERS)/GRANTOR(S) E
Seller 1-Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
John R.Downer Anita J. Downer iAddress(num andstreeI ,. 1st • Address�(nurgerandsty t) i S/ .
City,scat IR I►VI City,stCa/tXefv) d�iP dt�ie T
i
Country Country
US
who knowingly and intentionally falsifies the value of transferred
real prope or omits or falsifies any information required to beer ed,commits a Level 5,feiony.
Si ture o 1i c ap of Seller
rinte ame f S Date signed(mm clyyyy) Printed Name of Selir Date sig -d(mm/dd/yyyy)
Joh R. Downer 03/10/2023 Anita J. Downer 03/1li
J BUYER(S)/GRANTEE(S)-='APPLICATION FOR PROPERTY TAX DEDUCTIONS--IDENTIFY A 'L TY.
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on c y ce ent ' ("Ci.c )...„---)
Jeffrey Williams v
Address(number and street) Address(number and street) 'J l'
722 E Christian St. ��\
City,state,and ZIP Code City,state,and ZIP Code \" ¢
Princeton, IN 47670 ffjj,, Pp O
Country Country U"`jC{
US US
apply for certain deductions.Identifyy all of those that apply: - ¢
>O YES NO CONDITION NO CONDITION T 4
CO O 1.Will this property be the buyer's primary O 0 3. Homestead '
l residence? - O 4.Solar Energy Heating or Cooling System `°�'.
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device ,
cJ� for this residence? If yes,provide address: 0 CI 6.Hydroelectric Power Device 154
-e}ss(n r d street) 0 p 7.Geothermal EnergyHeatingor CoolingDevice
s G:2--uE-aY -110.11 St •
Tspte,ZIP code,and county
Under penalties of,perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,,correct,and complete
t"' as required by law,and is prepared in accordance with ID 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.(Note:,Both spouse's_
t .information,,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed) '
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