Homestead_Baylor III H. PREPARER - � 1
Preparer of the Sales Disclosure Form Title
Sherri Hudson Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
2301 N.Burkhardt Road, Evansville, IN 47715
I.SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
i
Misty D.Workman Jason K.Blackard E
Address(number and street) Address(number and street)
805 E.Walnut St. 805 E.Walnut St.
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
US US
-- —
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
-..' .,roperty,or omits , . ' -. '
Si re f Seller
Sign tune of Seller
( Prin ed N e of Seller Date Signed(mm/dd/yyyy) Prr d Name of Seller I Date Signed(mmldd/yyyy)
Misty D.Workman 11/09/2023 l J:son K.Blackard pi, l 111109/2023
J. BUYERS)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENALL Ii PPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appca ca ccr:veya, mc.
John Franklin Baylor IN 0/ /
Address(number and street) Address(number street) 5 cQ
lc-,6 CI . VI v �S`i— 3
City,State,and ZIP Code City,State,and ZI
Country Country 4/
4.US _ 7T0
, Email Address
certain deductions.Identify all of those that apply: ,
YES NO CONDITION YE NO CONDITION
›( 1.Will this property be the buyer's primary 0 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 ZG,`q�1 s—,3 _Qoo ,e, 3—0 2
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