Homestead_Loehr _H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country, and ZIP Code)
4905 Theater Drive, 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
Steven Ross Thomas Carla L. James-Thomas
Ackeress(nit her a street) Address(number. d street)
DID Lt) 1. 1141/1070- -744 Y. e tone
City,Otree Sta and P Code
i and ZIP Code .
mccni 4740. ,e. p.ita, I
IN
iiildi1C14 IA) V2444,
Ci If rA CE7
t41 •
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.
)(Signet of S er krS' lure Sell-r.10 J.
, 4:40A
Pr- ame-of Seller Date Sioed.(mmiddlyyyy Pr' arne of Se er 1 Date Sip*(mm/d.d/yyyy)
Steven Ross Thomas June eV2023 Carla L, James-Thomas . June 0.?2023
J. BUYER(S)/GRANTEEN-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 con , ance document
„Jessie K. Loehr
Address(number and street) Address (number and street)
328 North Gibson Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
/ec
Country Country
-
IA 11- G',/es 407
apply for certain deductions.IdentifS+41 ose that appl •
YES NO CONDITION YES NO CONDITION 1-017,
1-1 1.Will this property be the buyer's primary Izt EI 3. Homestead
0 L_I residence? 0 ip, 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated El 5.Wind Power Device
Ell for this residence? If yes, provide address: 0 6.Hydroelectric Power Device
Address(number and street) 0 t7. 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
— :),S —00 2, it CtO Oa .
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
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