Homestead_Craven H. PREPARER
Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent rN�_ � __ __ _
--_� ____
Company E-mail address ._.-
Address(number and street.city.state.country, and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville, IN 47708
I SELLER(S)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seiler 2-Name as appears on conveya menu
Bryan J.Carroll
Address(number and street) -4,4 ,,,
. . _ _______ Address(number and street)
191 N Roosevelt Dr
Cily,slate,and ZIP Code City,state,and ZIP Code . /
Princeton,IN 47670 • ` 2,,I Country Country c/ p2)
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ius es0N
E-mail address
17).--
Under penalties of perjury,I.hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true, complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifiesalue 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
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Printed of eller Date gn (mm/dd/yyyy) Printed Name of Seller Date signed(mm/dWyyyy)
7�jBryan J.Carroll ad
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
Nathan Craven
Address(numper and street) Address(number and street)
I t 9d V o City,s , ZIP Ce City.� state.and ZIP Code
ci1 /� T7� 7�
Country Country
US
E-mail address
a ly for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary 0 3.Homestead
residence? C) 3 4.Solar Energy Heating or Cooling System
4 2.Does the buyer have a homestead to be vacated 0 ® 5•Wind Power Device
0 for this residence? If yes,provide address: 0 6.Hydroelectric Power Device
Address(number and street) Q ® 7.Geothermal Energy Heating or Cooling Device
City.state.ZlP code,and county
-lu -o$ --1.0_1 -ooa .Lot -o 2a -
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
COPY