Homestead_Moody H:PREPARER. ::; : _.
Preparer of the Sales Disclosure Form Title
Jamie E.Smith
Address(number and street,city,state,country,and ZIP Code) I —
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715 1
• I: SELLER S /GRANTORS ::.: : :;:.;:e:,_ --: .:::: : :::..:.:::: . '....;:..'. . : ._ :,:', : : '< .
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on convey..?- •.cument
CHRISTOPHER J. DANTON t ,.
Address(number and street) Address(number and street)
5596 E 475 South .
City,State,and ZIP Code - City,State,and ZIP Code 46 0�ti'.
Princeton, IN 47670-8765 �T�8 9
Country - Country ales `" I
i
IC 6-1•.1=5:5.A person who-knowingly and intentionally falsifies value of transferred
reai:prope mits !sifts'any:info tion required to'.be provided,commits.a'Level°5 felony.:.,:.::: :.::;:•':- ' . . .
Signatur of Sell �_ Signature of Seller
Xrinte1ler -Date Si ed mm/ddlyyyy) Printed Name of Seller Date Signed(mm/ddtyyyy)
CHRISTOPHER J DANTON March p,2023 March 30,2023
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
TYLER W. MOODY ANGELA S. MOODY
Address(number and street) Address(number and street)
5596 E 475 South 5596 E 475 South
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670-8765 Princeton, IN 47670-8765
Country Country
E-mail Address
YES NO CONDITION YE ,7NO CONDITION
Q1.Will this property be the buyer's primary [ ❑ 3. Homestead ' _,
silence? r
[� 4.Solar Energy Heating. III� item
2.Does the buyer have a homestead to be vacated ❑ 5.Wind Power Device
❑ for this residence? If yes,provide address: 0 gial 6. Hydroelectric Power Device = ,'.
Address(number and street) 0 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 9 f _2 —Q C-too-coo.
tOO-coo. i$ _c o 1
Under.penalties of:perjury,.I herebycertify:that this Sales Disclosure,-to the best of my knowledge and belief,is true,correct and complete
as required"by law,and isprepared.in accordance with IC.6-1.1-5.5.:A.person:who knowingly and intentionally falsifies.the value of