Homestead_Voegel H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street, city,state, country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, 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
JORDYN BEARD
Address(number and street) Address(number and street)
6853 W Division Road Pit
City,State,and ZIP Code City,State,and ZIP Code ,
Petersburg, IN 47567-8159
Country Country 01/
f' 8 <U?.3
E-mail Address
best of my knowledge and belief,is 1194``c and comp* 5
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsify® oftrans
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Of
ign a of Sel er /7 „ r 1 Signature of Seller
1 l /
u. i(f.t, 1, I p-- �f' (./L� /�
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Print Name/f Seller Date Signed(mm/ddlyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
JO Fir
BEARD September 20, 2023 September 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
ELIJAH R.VOEGEL
Address(number and street) Address(number and street)
5008 S Lincoln Street
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660-7659
Country Country
E-mail Address
certain deductions.Identify all of those that apply:
YES NO CONDITION YES O CONDITION
a„--1--1 1.Will this property be the buyers primary ❑ *-Homestead
LJ residence? ❑ 074,Solar Energy Heating or Cooling System
2. oes the buyer have a homestead to be vacated ❑ �/5 ind Power Device
❑ I�—fi or this residence? If yes, provide address: ❑ 6,- Hydroelectric Power Device
Address(number and street) ❑ L7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete