Homestead_Jones (9) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly E Norton Settlement Agent
Company Email Address
' Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh, IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on convey d ent
Wesley S.Obert
Address (number and street) Address(number and street)
420 E.795 S.City,State,and ZIP Code City,State,and ZIP Code O/�
cr [+
Fort Branch, IN 47648 t of/ <2
/ ( )
Country Country G/ `3 /
US esON
Email Address
and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
„SA' na e of Seller ,� �r Signature of Seller
Printed Name of oiler ✓r (f 'V�' Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Wesley S.Obert 09/27/2023 09/27/2023
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
Christopher Jones
Address(number and street) Address(number and street)
12741 Red Gate Rd.
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47725
' Country Country
US
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
® O 1.Will this property be the buyer's primary () O 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
O X2.Does the buyer have a homestead to be vacated O ® 5.Wind Power Device
for this residence? If yes, provide address: p ® 6. Hydroelectric Power Device
Address(number and street) 0 ( 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County a( -N- t9 -2,0/4 _00k 321 - 02-6.
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. (Note:Both spouse's