Homestead_Deom H. PREPARER _ ��
Preparer of the Sales Disclosure Form Title
Kristina Watson Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh, IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyan ument
Bonnie R.Cox
Address(number and street) Address(number and street)
211 N Main St. L IJ 6\i it rs't 44' .- ,
-
City,State,and ZIP Code City,State,and ZIP Code 4 t
Owensville,IN 47665 frvht,cr4rl TA) -f g lc,
Country Country , 4 2
2 c16\
US �'/eS
Email Address
my knowledge and belief,is true,cvCcomplete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies thee of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signaturef Seller r�- � ' Signature of Seller
Printed Name of Seller Date Signed(mrn/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Bonnie R.Cox 04/17/2023 04/17/2023
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
Randie M.Deom Nicholas J.Mattingly
Address(number and street) Address(number and street) 4 �3..
714 E Division St 714 E Division St
City,State,and ZIP Code ' City,State,and ZIP Code ilp
Evansville,IN 47711 Evansville,IN 47711 ,1
Country Country
YES NO CONDITION 7' NO CONDITION
A O 1.Will this property be the buyer's primary O 3.Homestead
residence? p IX 4.Solar Energy Heating or Cooling System
V 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
N for this residence?If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County .(- _ o I^I o� -0 00 A 1-3 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