Homestead_Sehkar H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) ` T '
Seller 1—Name as it appears on conveyance document Seller 2—Name as appe s bnlon yan do t
Rodney Payne
Address number and street)
(number street)
( 0O S S . (0 5O E . Jun 05
City,state,and ZIP�/C/�ode _ - / City,state,and ZIP Code 20'
�r' - 6rpnr,� -�✓�/ 'f�(.I4'
Country Country
US US
E-mail addre i
'VNSUnder penaltperjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete as
required by Id is prepay ccordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies the value of transferred
real pro e or omits or f dies y information required to be provided,commits a Level 5 felony.
Si ure of S Signature of Seller
rinted Name of Se r v Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Rodney Payn 06/26/2023
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 conveyance document
Marthaline H. Sehkar Chester Sehkar
Address(number and street) Address(number and street)
309 West Brumfield Avenue 309 West Brumfield Avenue
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
US US
NO CONDITION
D O 1.Will this property be the buyer's primary D 0 3. Homestead
residence? O D 4. Solar Energy Heating or Cooling System
O ,d, 2. Does the buyer have a homestead to be vacated O D 5.Wind Power Device
for this residence? If yes,provide address: 0 D 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
t —l a-c S- 9OLk ooc . G g o - 0 g
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