Homestead_Wade (6) H. PREPARER
Preparer of the Sales Disclosure Form Title
Shannon Valiant Escrow Officer
Company
Address(number and street, city,state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Estate of Linda D.Wade
Address(number and street) Address(number and street)
405 E. Montgomery St.
City,State and ZIP Code City, State and ZIP Code -
Owensville, IN 47665 V .
Country Country
United States of America
E-mail address mail addressdeo gi tuber
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge lief,is true,c'orr¢ t and c lete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and in Rd ally falsifies¶ alue of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felon . C,OG ?'
Sign r of Sale', ' �Z ai.�w� , Signature of Seller 4` 4146,
1 axPrinted Name of Seller r Date signed (mmlddlyyyy) Printed Name of Seller "iiTo:- amm/dd/yyyy)
Jason Eric Wade,Personal Representative 3/24/2023 'Q
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
Kameron E.Wade .
Address(number and street) Address(number and street)
512 N 2nd St.
City,State and ZIP Code City,State and ZIP Code
Owensville, IN 47665
Country Country
United States of America
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
At 0 1. Will this property be the buyer's primary residence? A. 0 3. Homestead
I 0 g 4. Solar Energy Heating or Cooling System
0 ,,; 2. Does the buyer have a homestead to be vacated for I ❑ 5 Wind Power Device
this residence? If yes, provide address: 0 gal 6. Hydroelectric Power Device
Address(number and street) ❑ 47 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and county Q f r t` o -i _ '03 - a 00 . )'-j s-0 2 2
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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