Homestead_Hunt (22) 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. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyan ocument
Victor E. Buck
Address number and street) Address(number and street)
bdt &.‘
ZIP
City,state,and ZIP Code City,state,and ZIP Code ��
pi Acefoii/ iJ q7 7 ) k
Country Country J7 1023
E-mail ddress
the best of my knowledge and belief,Is tru� d complete as
required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifie 1 lv6 of transferred
real property,or omits or falsifies any InforrnatIon required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Victor E. Buck 043/7Oz 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
Lauren Jane Hunt
Address(number and street) Address(number and street)
e J 4
City,state,and ZIP Code City,state,and ZIP Code
Country/ Country
E-mai ddress
deductions.Identify all of those that apply:
YES NO CONDITION YE NO CONDITION
A/ O 1.Will this property be the buyer's primary 0 3.Homestead
residence? 0 0 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 O 6.Wind Power Device
for this residence? If yes,provide address: ❑ O 6.Hydroelectric Power Device
Address(number and street) 0 1 7.Geothermal Energy Heating or Cooling Device
1.20
City,state,ZIP code,and county
Q i1 �! ,'2_ � ^'1 c 1 .Q Ol •!,��_ O L�
T c. u_kor. G� -Xv CZ �o `�
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
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