Homestead_Harrington H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city.state, country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance d'.'-•
Kenneth James Stone
Address(number and street) Address(number and street)
65 5`] L) . 5 . -4.41.)
,�
City,stale,and ZIP Code City,state.and ZIP Code Qv
Country Country G'/ `92
US US eSO4 - `� ,
E-mail address 44 E-mail address Co C2elep •ne number
Under penalties of er ury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,cort�•� •mplete a
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the f., .f transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
S.!nature of Seller Signature of Seller
VI'''
•rin d Name of Sell Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Kenneth James Stone 11/20/2023
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
Franklyn A. Harrington Janis C. Harrington
Address(number and street) Address(number and street)
11721 Young Road 11721 Young Road
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47725 Evansville, IN 47725
Country Country
US US
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary J 0 3. Homestead
O O residence? 0 Q 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
A,ies (n i er and street) �� O 0 7. Geothermal Energy Heating or Cooling Device
ccll Yoci Yt
City,state,ZIP code,and county ��_I _ ID�_BOO
FiXtyl S if I-t LL �,/f- Li�714 5 I 7— 853 —o' (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
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