Homestead_Provost ----...— -- ,
H. PREPARER
— _
Preparer of the Sales Disclosure Form Title
Scott Morris Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLER(S)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Aaron M Ott Danielle M Moyer
Address(number pqd sil.er11),___, Address(number and street)
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City.State,and ZIP Code City,State,and ZIP Coda
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Court Country
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real property,or omits gr falsifies any information req ir d to be provided,commits a Level 5 felony.
Signature Sjgeatuce of Seller
Printed Name of Seller Date Signed(rnm/dd/yyyy) Printed Name of Seller Date Signed(rnm/dd/yyyy)
Aaron M Ott —...? . ? , Danielle M Moyer 3-3( - Z3 I
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J. 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
Veronica J Provost Kristopher Bryan Fisher
Address(number and street) Address, (number and street)
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City,State,and ZIP Code Cy,State,and ZIP Cade
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Country Country
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Email Address
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YES NO CONDITION E NO CONDITION I . . 0
0 1.Will this property be the buyer's primary
residence? 0 3.Homestead LE 10. i
0 CI 4.Solar Energy Heating or Cooling Sy.It,er ,,_ Cs`0c)
D 0 to,,,f 2.Does the buyer have a homestead to be vacated 0 5.Wind Power "4
Deb R 1 7 2023
IN for this residence? If yes,provide address: 0 El 6.Hydroelectric Power Device
Address(number and street) 0 2 7.Geothermal Energy Heating or Qooling Device C>0
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City,State,and ZIP Code County - 3 :rtzAtICECIFO 2_6 1
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of
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