Homestead_Wynn H. PREPARER _
Preparer of the Sales Disclosure Form Title !�
Claire Kincaid Settlement Agent
Company
4799 Rosebud Lane,Newburgh,IN 47630
I. SELLER(S)IGRANTOR(S) __ _ _PikSeller 1 -Name as It appears on conveyance document Seller 2-Name as appears on conveyance doc .46-1,0-
Nathan McClain ��yy
Address(number and street) Address(number and street) At*
545 W.State Road 68 0 �Q7„? 41
City,State,and ZIP Code City,State,and ZIP Code G/e Haubstadt,IN 47639 `SON
coQ
Country Country & '' 1
US 400_
( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
eal roperty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
ig X.C.1
r-eZ
/ - Signature of Seller
P rued Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
athan McClain 05/01/2023 05/01/2023 _
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
Edward J.Wynn Shelby G.Wynn
Address(number and street) Address(number and street)
2520 N.Heidelbach Ave. 2520 N.Heidelbach Ave.
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47711 Evansville, IN 47711
Country Country
US US
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
1.Will this property be the buyer's primary X O 3. Homestead
O residence? 0 0 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated O ® 5.Wind Power Device
Xf O for this residence? If yes,provide address: p ® 6.Hydroelectric Power Device
idess Lnurpbpr%tre�t},t loti r t� Ave0 ® 7. Geothermal Energy Heating or Cooling Device
I Ci ,State,and ZIP a al
/lv` Cou ty
Thiata, ndwile IN 4` 111 Va0ae , vgl.i b�1g - 36 .-40Look Is"y -Ot
• Under penalties of perjury,I hereby certify that this Sales Disclosure,to a best of my knowledge and belief,is true,correct,and complete
as required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
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