Homestead_Harvey H. PREPARER
Preparer of the Sale sclosure For ' Title
fC J Title Company i
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears one n7,,document 1
Alford P.Houchins
Address(number and street) Address(number and street) ��
2845 S 650 E Q
City,State,and ZIP Code City,State,and ZIP Code �j \ n
Francisco,IN 47649 I g , �J
Country Country % �`l
US �GtvC��
'9(���y, )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is truorrect,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.
1 Signatureeller Signature of Seller
el '�""
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Alford P.Houchins 09/28/2023 09/28/2023
I__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
Michael E.Harvey
Address(number and street) Address(number and street)
3445 S State Road
City,State,and ZIP Code City,State,and ZIP Code
Wheatland,IN 47597
Country Country
US
( )
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
0 1.Will this property be the buyer's primary O 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 2 G_ lL{- IS -ti Q l, -COL 022 -ooz
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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