Homestead_Harper H. PREPARER
Pnopanerof the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
005 SE Martin Luther King JrBoulevard, Evansville IN United States of America 47713
|. 3ELLER(S)/GRANTOR(0)
Seller 1 —Name aait appears on conveyance document Seller 2—Name osit appears on conveyance document
Terrell YKCox
Address (number and street) Address(number and street)
S17N. Main St. P
City, State and |PC d ur� State and uP Code
t
Oakland City, IN 47660 1
Country Country 40�
United States of America
best of my knowledge andu |
required uy law,and � prepared in accordance v,ith |c64.1's.a.Apersonwhnknowing� anuinoenuona||ym mo
real property, or omits or falsifies any information required to be provided,commits a Level 5 felony. 09
'u''~^- `~—~-
Signature��
er /
_ .
�~
^�hnte"/N �ne of Sell
/,
Date signed (mm��vyy� Printed Name of Seller Date signed Vnm/gu�'y�
Terrell VKCox 4/19/2023
J. 8UYER(8)/GRANTEE(S)—APPL|CAT|ON FOR PROPERTY TAX DEDUCT|ONG— |DENT|FYALLTHATApPLY
Buyer 1 —Name msb appears on conveyance document Buyer 2— Name aoit appears on conveyance document
Christian Harper Heidi Harper
Address (number and street) Address (number and street)
831 N Main St 114 Center Dr
City, City, State and ZIP Code
Oakland City, |N4788U Oakland City, |N470OO
Country Country
United States of America United States of America
' |
' YES NO CONDITION�n YES N� CONDITION
GO O 1 V@|| �hispropedybothabuya�» primaryronidenma? E] O 3. Homestead
u�
r� - � O Z 4 Solar�
ED O 2 Does O E] � Wind
� � S p
this �
' � O GD 6 Hydroelectric Power Device
-- ' ' � y e
^~ Address (number and street) O EO 7. Geothermal Energy Heating or Cooling Device
c� 831 N Main Gt
` City, State, ZIP code, and county /��
Oakland
-City, |N47O' O Gibson ��"6 -
�r Under penalties of perjury, |hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct and complete |
� as required by |aw,and is prepared in accordance with |C 6'1 1's.5.Aposonwhu knowingly and intenuonaxy*a|oi�osthe value o, /
tmns«orpouma| p,'o `'po u,omits urta|si�os any inh,nnaUorequired touo provided, commits a Level sfo|on!� (Nu/e:Both npnuso�
' - info/ .�on '3' nwo ' LxrenxelID1n,her Number m,necessary ifa Homestead Deduction /n being Weul