Homestead_Fogle ,...„- . i
•
• ____________ ____
H. PREPARER
Preparer of the Sales Di closure Form •)0 ' Title
i 1) 1 •'N •
Title Company
Company
Address(number and street,city,stale,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I SELLER(s)/GRANT0R(s)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on ey nc ocument
Fifth Third Bank Trustee of the Max P.Weigman Irrevocable Trust datec
Address(number and street) Address(number and street)
7945 S Willowbrook Ct
City,State..and ZIP Code AM,
City,State,and ZIP Code - ,1,1" 04..-
Owensville,IN 47665 4 2023
Country Country
US 0/43.1c:ceed,
Email Address Telephone Number Email Address Ai c t2
04 Telephone Number .,
( ) ,ni 1 • )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,ctiQ4ct,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
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
Sr_.-e-• CNA 4-a-L Printed Name of Seller Date Signed(mmktd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
J.Beau Dial, 05/31/2023 05/31/2023
__. = ------ — - ---- -
J. BUYER(s)IGRANTEE(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
Gregory N.Fogle • • Kimberly E.Meny Fogle
Address(number and street) Address(number and street)
PO Box 2504 19855-5 HWY 97a PO Box 2504 19855-5 HWY 97a
City,Slate,and ZIP Code City,Slate,and ZIP Code
Chelan,WA 98816 Chelan,WA 98816
Country Country
US US
YES NO C.W CONDITION this
h Tils oN YES NO CONDITION
0 CZ residence?property be the buyer's primary
i
'1 , 0 3.Homestead
0 3 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 f 5.Wind Power Device
for this residence?If yes, provide address: cc 1,1
Address( .
7q14 5 5, WI I/Div h ,,--cz lc 6 Y-
City,Slate,and ZIP Code
number.and street)
. County c.:C1) 1 6. Hydroelectric Power Device 0 l 7. Geothermal Energy Heating or Cooling Device
, -ai,C-v.+- 2 --10 0— 005-- 03 —02,1
Under penalties of perjdry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
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