Homestead_Willis (3) H. PREPARER
Preparer of the Sales rocirre Form QQ Title
aLa 1 Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 F I L�D
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Stan J.Phillips Julianne Phillips
UV 7 2023
Address(number and street) Address(number and street)
/
1380E600S 1380E600S �
1 City,State,and ZIP Code City,State,and ZIP e
Owensville,IN 47648 Owensville, IN 4764e�2 � Ce' . )_—
Country Country GIBSON COUNTY AUDITOR
i US US
j?if. . ( ) Sawtt
Under penalties of perjury,I hereby certify 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 inf r ation required to be provided,commits a Level 5 felony.
Sig of Selle Signature of Seller i—$
, -,ller Date Signed(mm/dd/yyyy) Prirlted Name of Seller Date Signed(mm/dd/yyyy)
9 ( YYYY)
Stan J.Phillips 11/22/2023 Julianne Phillips 11/22/2023
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
Cooper W.Willis Danielle E. Baugh
Address(number and street) Address(number and street)
2668 W 800 S 2668 W 800 S
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648 Fort Branch,IN 47648
Country Country
US 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:
1 YES NO CONDITION Y S NO CONDITION
`l O 1.Will this property be the buyer's primary O 3. Homestead
K residence? 0 ® 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 (2 5.Wind Power Device
for this residence? If yes, provide address: 0 (2 6. Hydroelectric Power Device
1
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 26^ ( 1 --2,53 _3 o0---CoO net -p2
1 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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