Homestead_Doyle H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2- Name as it appears on conve ocument
Brian J. Gray
Address(number and street) Address (number and street)
530 N. Clay St. �i0
City, State and ZIP Code City, State and ZIP Code
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Oakland City, IN 47660 S
Country Country 011/0 v`� ( w
United States of America O Q vJ
Email Address
4)j.,
Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is true,c*ect 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.
Nignature of Selle — Signature of Seller
Printed Name of Seller Date signed (mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Brian J. Gray 8/25/2023
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
Colson Doyle Madison Doyle
Address(number and street) Address (number and street)
530 W. Division St. 530 W. Division St.
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country
United States of America United States of America
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
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El ❑ 1. Will this property be the buyer's primary residence? RI ❑ 3. Homestead
❑ RI 4. Solar Energy Heating or Cooling
0 El 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device
1.0*
this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) ❑ RI 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and county q / -,`,_is _`O 3_O 00_ \b O _ 0 0 ,