Homestead_Fox . .
A Ij. PREPARER . .
Preparer:of the Sales Disclosure Form • Title
Christa D.Tracey .. Escrow Officer .
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Company .
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Lisa K. Market •
Address(number and street) Address(number and street)
507 W Church St.
City,State and ZIP Code City,State and ZIP Code I..,
Haubstadt;IN 47639
Country . . Country -14f .,
United States of America-
• E-mail address 'Telephone number E-mail address /110 22 T- .:..a%,-;e number
20
Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowle.•,-..,::n'd belief,is true, ect and complete as
required by law,and is prepared in accordance with IC 64.1-5.5.A person who knowingly .4§ i nally falsifies the ue of transferred
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real property,or omits or falsifies any information required to be provided,commits a Level 5 y
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Signature rIlr:o - ' d.,,r Signature of Seller
Printed Name OT-Ar Date signe (mm/dd/yyyy) Printed Name of Seller °Ii'Date signed(mm/dd/yyyy)
Lisa K.Market
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
Logan Fox Rikki Rene Sawyer
Address(number and street) Address(number and street)
457 Islamorada Drive South .. 457 Islamorada Drive South
•
City,State and ZIP Code City,State and ZIP Code
MacClenny, Florida 32063 - MacClenny, Florida 32063
Country Country
USA USA
E-mail address - •
YES NO CONDITION YES NO CONDITION
0 El 1. Will this property be the buyer's primary residence? RI E 3. Homestead
• .. . El 0 4. Solar Energy Heating or Cooling System
0 0 2. Does the;buyer have a homestead to be vacated for 0 Et 5. Wind Power Device
this residence? If yes,provide address:
0 O 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and county
1 C61'.3(3 AO 000.?-( -00C1
Under penalties of perjury,I hereby certify that 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
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