HomeMy WebLinkAboutHomestead_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
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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
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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