Homestead_Deputy (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 �1
I. SELLERS)/GRANTOR(S) F
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyan ems► nt
Marty W.Robbins Brittney Robbins
Address(number and street) Address(number and streets'EP 0 5 2023
1884 S.Collins Street 1884 S.Collins Street
City,State,and ZIP Code City,State,and ZI de QN
Francisco,IN 47649 Francisco,IN 47 a
Country Country SSN COUNNAUDi" T�
US US
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�y any information required to be provided,commits a Level 5 felony.
Signatur , ..Vd1
e � atu °` A
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Sell r Date Signed(mm/dd/yyyy)
( YYYY)
Marty W.Robbins 08/25/2023 Brittney Robbins 08/25/2023
J. BUYER(S)/GRANTEE(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
Brandon L.Deputy Cori M. Deputy
Address(number and street) Address(number and street)
11105 E Lincoln Heights 11105 E Lincoln Heights
City,State,and ZIP Code City,State,and ZIP Code
Oakland City,IN 47660 Oakland City, IN 47660
Country Country
US US
aYES NO CONDITION YES NO CONDITION
r . 1.Will this property be the buyer's primary ® O 3. Homestead
® O residence?
�. 0 ® 4. Solar Energy Heating or Cooling System
0 .A O 2. Does the buyer have a homestead to be vacated 0 OD 5.Wind Power Device
o for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(plumber and stre ) ( I` 0 (27. Geothermal Energy Heating or Cooling Device
(.11 1 1 1 V ! Li A c oI I, . tl( r ct, S -
0 pit StatlL - -f
an�Z Code '.� Count
s ; 4141-) Cs- �1r _"Under palties of perjury,I hreby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
M 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
t
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