Homestead_Wissel H. PREPARER -- __ _
Prepsrer he Sales Disclostre Form -�of t
Thies
AaueMaslenka Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Coda)
5231 Oak Grove Road,Suite A,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
Seller I-Name as It appears on conveyance documenton
-Name as appears on - —
"
Seller 2
The Secretary of Veterans Affairs
it Address(number and street) -
t 810 Vermont Ave NW Address(number and street)
City,state,and ZIP Code
Washington, DC 20420 i City,state,and ZIP Cod 406./ ��
Country — — _ —
1 Country G/
United States of America United States ofAmeQ'
knowledge and belief, is,
4. ct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally fals Pthe value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
SignacPifi:20•0040,464 64441°11ZAttl PN€46Vii Seller
Printed Name of Se I ' :; " , Date signed(mmld Printed Name of Saver 'Date signed(mm/ddtyyyy)
Tameka AlexandeP�."„,, :.�;,.:,,,,„"„"„ /des _9-3 ,
AN
J. BUYER(S)/GRTEE(S) APPUCATIO FOR P OPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as appears on conveyance document —---"—
- Peter F.Wissel i Bailey M.Wissel
Address(number and street) —'"
Address(number and street)
9060 W 400 S _ 9060 W 400 S
City,state,and ZIP Code City,state,and ZIP Code
Owensville,IN 47665 Owensville,IN 47665
~Country -- �—
Country
United States of America United States of America
YE NO CONDITION0
0 1.Will this property be the buyer's primary residence? 3. Homestead
— _ 0 RI 4. Solar Energy Heating or Cooling System
❑ 0 2 Does the buyer have a homestead to be vacated for 0 0 5.Wind Power Device
this residence?If yes,provide address:
— — _— 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code Courtly
_ %- --34-Apo -oui. 6 y3- ��-21
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
._
Page 3 -*