Homestead_Wilkinson 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)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Dale Zheng Meihua Liu
Address(number and street) Address(number and street)
3 0 2 N 1 DT s-I- •60"z N 10-til s+
City,state,and ZIP Code City,state,and ZIP Code
PhnC-etor l ly l.Q1 L) Fri rCetDn I,N A---1lQ1O
Country Country
US US
E-mail address
Under penalties of perjury,I hereby certify 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.
Signature of S Iler Signature of Seller .
OBIt= 2-1 mi; ; tio02,1,t �1
Printed Name of Sell r D i e+1 m/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Dale Zheng 0 /2 to 3 / 1r , Meihua Liu 06/27/2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FO- " e ' f TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance d fern► Buyer 2—Name as it appears on conveyance document
Koty Wilkinson ( � DmYltM\e, GoNoten- su1/4,Ve,5
!U•
Address(number and street) • Address(number and street)
1573 City, tOatld e,andt ZIP CCodd 65 G/t3s,e Oh co Q ,,� Cityl sJ1'2J and OZIF dCodeS�GI-�C- e G( L,t' S
Princeton, IN 47670 l/NTL,g2 Pfl n 1.Q)'-(�{� I N �LQ�.Q
Country V/rOR Country
US US
to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
D O 1.Will this property be the buyer's primary 0 O 3. Homestead
residence? O Q 4.Solar Energy Heating or Cooling System
O Does the buyer have a homestead to be vacated O 0 5.Wind Power Device
for this residence? If yes, provide address: O 0 6. Hydroelectric Power Device
Address(number and street) O 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
.26-1 a-67 -- ItoLl-c=oa.-kga-oeW
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's
FILEDOf5
SUN U 7 2023 t.. , ,r. t,
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