Homestead_Hays H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway Street, Princeton, IN, USA, 47670
I. SELLER(S)IGRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2-Name as appears on conveyanc ument
Sheila C. Showalter IL'
Address(number and street) Address(number and street)
502 S Eastview Street
City,state,and ZIP Code City,state,and ZIP Code seg '. )
Princeton, IN 47670 j
Country Country C/�
USA `SO,1, �1�
E-mail address
��-9 )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is tru4✓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 falsifi•-s i 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
— —
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(m dd/ )
Sheila C. Showalter
.L.$UYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer.1-Name as it appears on conveyance document Buyer 2—Name,asit appears on conveyance document
Timothy L. Hays Mary J. Hays . .
Address(number and street) Address(number and street)
2601 SugarCane Lane 2601 Sugar Cane Lane
City,state,and ZIP Code City,state,and ZIP Code
Evansville,-IN 47715 Evansville, IN 47715
Country Country
USA USA
( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
CI O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 O 4. Solar Energy Heating or Cooling System
O El for
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
Address(number and street) 0 p 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
A6- t`t- `t-toi-000 S 90 - 02,6
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