Homestead_Vanoven H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)IGRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it ap r on c yance document
Mark E.Voyles Anne Voyles
Address (number and street) Address(number an4treet) *6
4144NSR65 4144NS 0,,
City, State and ZIP Code City, Stag/ P Code 13
Patoka, IN 47666 Patoka, IN
Country Country 4✓
United States of America United States
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 Seller )signature of Seller G .�'�
G Date signed (mm d YYYY)I dt Printed Name of Seller signed(mm/dd/YYYY)
Printed Name of Seller
Mark E.Voyles 6/28/2023 Anne Voyles 6/28/2023
J. BUYER(S)IGRANTEE(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
Micah John Vanoven
Address(number and street) Address(number and street)
4144 N State Road 65
City, State and ZIP Code City,State and ZIP Code
Patoka, IN 47666
Country Country
United States of America
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Q 0 1. Will this property be the buyer's primary residence? 0 0 3. Homestead
❑ Q 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for 0 Q 5. Wind Power Device
this residence? If yes, provide address: ❑ Q 6. Hydroelectric Power Device
Address(number and street) 0 RI 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code,and county0 `S 'LZ_ l�0 - p,o Q ? $) - ,o'
^Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete