Homestead_Cates H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street, city,state, country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
JASON D. STILES RANDI M. STILES
Address(number and street) Address(number and street)
5328 S 925 East 5328 S 925 East
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660-8575 Oakland City, IN 47660-8575
Country Country
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
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
re of Seller Signature of Seller
ita
yign-
t ted Name of Seller Date Signed(mm/dd/yyyy) Printed Name of seller Date Signed(mm/dd/yyyy)
JASON D.STILES May 23, 2023 RANDI M.STILES May 23, 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
TAYLOR J. CATES
Address(number and street) Address(number and street)
. 5328 S 925 East It%
LU City,State,and ZIP Code City,State,and ZIP Code
0 Oakland Ci , IN 47660-8575 Q Country Country
tpc
apply for certain ded i Vll of pose that appl .
' YES NO CONDITION YES NO CONDITIO COON
O 1.Will this property be the buyer's primary ❑ 3. Homestead 'rAZ,,,,o
0 ❑ residence? ❑ 114.Solar Energy Heating or Cooling System
i
O 2.Does the buyer have a homestead to be vacated ❑ [� 5.Wind Power Device
0 ❑ for this residence? If yes, provide address: ❑ V 6.Hydroelectric Power Device
l Ad ress(num r and str e ❑ ❑/7.Geothermal Energy Heating or Cooling Device
City State, IP coded,ar d Cou ty 'A\ fI //��//� �(} (/A`) 1/��(�� �{ '(� t� (� y^�
t I"1 l V� I ' V `�I ! l! �J �/`�r _O -'l V V --col . V�� �- -
Un er pena ties or perjL,I herby certify that this-Sales Disclosure,to the best of my knowledge and belief, is true,correct and complete
k 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
4..9
5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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