Homestead_Oakman H. PREPARER
Preparer of the Sales Disclosure Form Title
Cody L Pruett Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyar,cd men
A
Christo her A. Robinson `
Address(number and greet) Address(number and street) sF
46
/n�
state,
and ZIP Code . City,state,and ZIP ?v
r ile/0 e:UN 1 ti C/.fi 7- 'SO,_ &,
Country Country CO
E-mail address
knowledge and belief,is true,c• rest and complete as
required by law, nd is prepared in accordance with IC 6-1.1-5.5.Ap person who knowingly and intentionally falsifies the value of transferred
r o omits olsifle inormation required to be provided,commits a Level 5 felony.
i tur .of S'Ier f / Signature of Seller
_ C
Printe Name of Seller D 1 signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Christopher A. Robinson h/ $'/Z 3
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
Malinda J. Oakman . Michael W. Oakman
Address(number and street) Address(number and street)
/0r7 S et'0act'Irj.2j £rc(e br;-
City,state,and ZIP Code , City,state,and ZIP Code
Pr mrst &r,J , 7'rrcl/a4c1 y76,7a
Country Country
E-` P‘ i U3 A )
it address
YES NO CONDITION YES NO CONDITION
�( O 1.Will this property be the buyer's primary 0 0 3. Homestead
J� residence? 0 O 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated O l7 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
9 `- II — I2 -3ot -bo2,. LIIC - o2-Y
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