Homestead_Newkirk 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. SELLERS)/GRANTOR(S)
L Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
? Mark A.Allen A Russell F. Allen .
Address(number and street) Address(number and street)
W2 E eno s sioo F So S
City,State,and ZIP Code City,State,and IP Code
fir, B.4iitisi at/ .Z"./ 4/774/ , oaf ' Q. G,'7 _. et? a- e
u Go
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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,co its a Lev 15 felony.
Si eture of Ilex signof
Printed Name of ell Date Signed(mm/dd/yyyy) ' rin ed e o Seller Date Signed(mmldd/yyyy)
Mark A.Allen June 19, 2023 Russell F.Allen June 19, 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*.• - ance document
Loren H. Newkirk Anita R. Ayer-Reyes
LED
Address(number and street) Address(number and street)
6658 South 350 East 6658 South 350 East
City,State,and ZIP Code City,State,and ZIP Code JUN
Fort Branch, IN 47648 Fort Branch, IN 47648 2 R 2
u23 )
CrnAtcry A i DR &e,'
to apply for certain deductions.Identify all of Y1 t apply:
YES NO CONDITION zsi NO CONDITION
)r,ci1.Will thisproperty be the buyer's primary ❑ 3.Homestead
❑ residence? ❑ p 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated CI 5.Wind Power Device
.. 0 for this residence? If yes, provide address: E 6. Hydroelectric Power Device
Addr ss nu b r and et) E 7.Geothermal Energy Heating or Cooling Device
vole S'-rasse,
CJOJQr/AT
State,ZIP:co e, d C y
75�p . N-Aq-t -too- 0 oo .cis-02._, ---
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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