Homestead_Beadles (2) H. PREPARER
Preparer of the StirclosureZrn /(-4 Title PO( ( Title Company
---___
Company
Address(number and street,city,stale.country.and ZIP cede) F LED
7820 Eagle Crest Blvd,Suite 201, Evansville,IN 47715
I. SELLER(S)/G RANTOR(5)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveymirRftd
RH 77'2023
Paul L.Luttrull Kristin L.Luttrull
Address(number and s(reet) F Address(number and street)
9900 E 450 S 9900 E 450 S (thi..r.jia/2 a. P(rad4,714)City,slate,and ZIP Code City,state.and ZIP Code
GIBSON COUNTY AUDITOR
Oakland City,IN 47660 Oakland City,IN 47660
Country Country
US US
-
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.
Sign, re of Seller Si ture of Seller
Printed Name of Seller 24 Date signed(mmickifyyyy) rin ed Name of Seller Date signed(mm/ddlyyyy)
Paul L.Luttrull 03/24/2023 Kristin L.Luttrull 03/24/2023
LJ. BUYER(S)IGRANTEE(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
(‘ir,...‘ Samantha M.Beadles Stanley W.Beadles
(....) Address(number and street) Address(number and street)
1 6289 S 1050 W 6289 S 1050 W
C\-) City,slate,and ZIP Code City,state,and ZIP Code
Owensville,IN 47665 Owensville, IN 47665
C.Nr3 .
Country Country
8 us us
YES NO CONDITION
1. Will this property be the buyer's primary *-. 0 3. Homestead Nk 0 residence? D N 4.Solar Energy Heating or Cooling System
(
2. Does the buyer have a homestead to be vacated 0 CR 5.Wind Power Device
L.' for this residence? If yes,provide address: 0 a 6.Hydroelectric Power Device
9 4 A7ddr s-s(n ber nd street)!
0 (X 7.Geothermal Energy Heating or Cooling Device
ri— q Kx-,0 ,
.---' (Ciky.state. IlP code.ayld county,—
. 1 LA/Lie 11) V i l le--1 1 NI Lt 7L9 tZ 2-6-1 --,s S --, 00-00 I 3 --(A___00
Under penalties of perjuity,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete-7
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
.
Page 3 of 5 p