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Homestead_Gibson (6)
H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer 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 Estate of Patty M. Harden Address (number and street) Address(number and street) 210 W. Morton St. - City, State and ZIP Code City, State and ZIP Code Oakland City, IN 47660 , Country Country United States of America E-mail address 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 real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. pi,;- e of Seller L tiliVati___ *. Signature of Seller •rin ed me of Seller Date si ned mPrinted g ( Name of Seller Date signed (mm/dd/yyyy) Regina .Wilkinson, Personal 6/2/2023 Representative J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY A THAT APPLY Buyer 1 -N ems it appears on conveyance document Buyer 2-Name as it appear nin eyar} a io i nt awn Michael Gibson Katelyn Paige Gibson L Address(number and street) Address (number and street) 2106 Boulevard Pl. 2106 Boulevard Pl. JUN 0 7 2023 City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 , i .J J/y- Country Country GIBBON COUNTY qUD United States of America United States of America E-mail address 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 N I?I El1. Will this property be the buyer's primary residence? Cl 3. Homestea ElDoes the buyer have a homestead to be vacated for ID El 5. Wind Power Device 0Cr th residence? If yes, provide address: ' El 4. Solar Energy Heating or Cooling System 0 0 6. Hydroelectric Power Device AddieesssInumber and sir, et) Oy' � ) GI El 7. Geothermal Energy Heating or Cooling Device G 66 s`�I oueArar P 1 ti� %1 �ov CO, State ZIP code, and \1 0 Cynnceion- Dc1-10-b . (fib, c� ,TG-AA - © ?-. .cao-00O. 7 S7 _ o A 7 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse' information, SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) Spokc-\o Shgwna ill c oh 6^7,0 0133 . ._CA+1 f.�d s h sae )cAn b 2.los; s2W ft- 4- Qv.* "br_cr on ileKA) Ust . _ G)- G- � -7_ 23