Homestead_Teddleton i
1 H. PREPARER.
Prepareter the Sales Disclosure Form Title
I Milton Norman _ Settlement Aont.
i Company E-mail address
Address(number and street,city,state,countty,add ZIP Code)
ti 25 NW Riverside Drive,Suite 310,Evansville,IN 47708
1 I. SELiiR(OGRAkrok(s), .
_
i Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on r , document
!' Marvin J.Martin
! Address(number and street) Address(number and street)
I 4146 t- WSplit Rail In-
City,state.and ZiP Cod--e ' ' ' - '- '--- ' ' - ' City.State.and ZIP Code i
1 Princeton,IN 47670 ‘ i?
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i Country „ —__
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7COuntry
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Under penalties of perjury,'hereby certify this Sales Disclosure.to the best of my knowledge and belief,i „eps-ur .74,-tec,,,, t and Complete as
i required by law,and is prepared in accordance with IC 64.1;5.5.A person who knowingly end Intentionally fals111114 the value-of transferred
f real propertY,Oroillis or falsifies any Information required to be provided.commits a Lelia!5 felony.
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3 Ptnature of Seller Signature of Seiler
Printed Name of Seller DaTD.signed(mdtrard/yyyy) Printed Name of Seiler i Date signed(mrciddirsyy)
0 Marvin J.Martin 1 ___ , _ _._. ... . . „
J. BuyERoyoRANTEE(s)-,, APPLJOATION 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
James Michael Teddleton
4 Address Inumber and street) Address Outnber and street)
:•,;
0 5300 Oakwood Dr
, City,state,and ZIP Code
Cily,state,and ZIP Code
Newburgh,IN 47630
t-0 Country---- ----
Country
deductions.Wen*all of those that apply:
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ryii- NO CONDITION YES NO CONDITION
i r I r-1 1.Will this property be the buyer's primary a 0 3.Homestead• 1--' residence'? D 3 4,Solar Energy Heating or Cooling System
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2.Does the buyer have a homestead to be vacated 0 M 5.Wind Power Device
, 1 0 X for this residence?If yes,provide address: 0 52 6.Hydroelectric Power Device
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'i Address(number and street) 0 E.‘ 7-Geothermal Energy Heating or Cooling Device
City,slate,ZIP code,and county
CO-100 - 003 E97 -0 2-q- •
Under penalties of perjury,i hereby certify that this Sates Disclosure,-to the best of my knowledge and belief,Is true,correct and eemptete
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