Homestead_Alden 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
Paul F. Brown Delores J. Brown
Address(number and street) Address(number and street)
59.l G 1N • Stm-e I2Ca LA, 5 V\J . S't71-1-( rd lQ W
atyI,state,and IP Code
lltuloS-tCL Code City,
1lu �446q CitNl,1tAbS Z act-k IN 411c6c)
Country Country
US US
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.
nature of Seller , nat a of Seller
Printed Name o Seller Date signed(mm/dd/yyyy) rinted Name o Sel er ^ Y`�� Date signed(mm/dd/yyyy)
Paul F. Brown 07/21/2023 Delores J. Brown 07/21/2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDEPY T T APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on``co nce e
Asher C. Alden
Address(number and street) Address(number and street) 406.
v//.
10183 South Quail Crossing V / /,
City,state,and ZIP Code City,state,and ZIP C d 2U23
Haubstadt, IN 47639
Country Country G L3SONC Q �,/ C.7)\
US US COONry
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
' O 0 residence? 0 O 4.Solar Energy Heating or Cooling System
V
t� O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
y Address�iumber and street) 0 1 7.Geothermal Energy Heating or Cooling Device
�1b�1 S ( T 1,it C li()%i 'i5
City,state,ZIP code,an
Ct. 074.tALOSA atcl+`t 1 L-6- tq-31 -3 0 I -p 0 Q. 2g I-o O' -
Under penalties of perjury,I hereby certify that thisMTds Disclosure,to the best of my knowledge and belief,is true,correct and complete
C Dee.A •� �" IZE �\`v�Pa' ge3of5 i v ►v CeACOP