Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
Homestead_Faith H. PREPARER
Preparer of the Sales Disclosure Form Title
Scott Morris Escrow Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conve nce document
Katrina M Brown1.1
Address(number and st t) Address(number and street)
VState,and ZIP.Code City,State,and ZIP Code
LSP.A/v',\\sZ i.: t\ tit; �/, 1
Count k Country -.( `�
perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belrt ,correct,and complete as
required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentlona es the value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. /).
Signatur .of eller Signature of Seller
rinted Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Da i n mm/dd/yyyy}
Katrina M Brown 5 -,,--3. -e92N
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
Jonathan Mark Faith
A dress(number and street) Address(number and street)
r$32S (12 -
City,State,and ZIP Code r� City,State,and ZIP Code
. O(.1: ik5V i l c —N `142 4'J
Country Country
Email Ad ess
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary X
❑ 3. Homestead s. residence? ❑ 0 4.Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated ❑ C) 5.Wind Power Device
for this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device
Address(number and street) ❑ O 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
-rl- 2`1 - 100_o©Lt. S'32..-o21 ,