Homestead_Williford (3) I H. PREPARER
Preparer of the Sales Disclosure Form Title Y a
Stacey Salzman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
2301 N. Burkhardt Road,Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on� nce d t
Samuel H.Whisenant and Penny H.Whisenant as Trustees of the Sam
Address(number and street) Address(number and streetW�
203�eh+nsen-Ave j 6-)31 [�C n o 0.3 e.i i ►fir- v 28
City,State,and Z ' ••= City,State,and ZI e (102
, . • 0 , .I ILL A . ` - , I 1D03 , Om 3
Country Country 80N
US
CO
j Email Address
Under penalties of . complete perjttr>tf,1'�lereby certify this Sales Disclosure,to the bestoflrgrltnbiivledge and belief,Is truB;correct,and as
required,by law,and is p• • • In accordance•with IC 6-1.1-5.5.A person w1iokcnewingiy and intentionally falsifies the value of transferred
real property,or oml • . - information required to be provided, _.its a Level 5 felony.
Srtat • Seller S' n of Seller mM�dt 71 `�� c�/
i
j Printed Name of ,.11er - Date Signed( yyyy) rinted Na f eller Date Signed(mm/dd/yyyy)
Samuel H. Whisenant, Trustee Penny H. wnisenant, Trustee
11/27/2023 11/27/2023
J._BUYER(S)/GRANTEE(S) APPLICATION FOR PROPERTY T> DEDUCTIONS-IDENTWYAL THAT APPLY.
appears on conveyance document Buyer 2-Name as it appears on conveyance document
Hanah R.VVilliford Tanner Johnson
Address(number • Address(number and street)
707 N West St. 707 N West St.
City,State,and ZIP Code City.State,and ZIP Code
Princeton, • Princeton, IN 47670
CountryCountry
US US
Email Address
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:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary CD 3. Homestead
® O residence?
0 IX 4.Solar Energy Heating or Cooling System
�� 2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device •
JE/ for this residence?If yes,provide address: 0 ® 6. Hydroelectric Power Device
610ress..finurMranldYs�? t) S r)r L-49.( 0 ` 0 ® 7. Geothermal Energy Heating or Cooling Device
3,? City State,and ZIP Code County
7 F)AA)i\ - )‘(\--- L-t i-i)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best_of my knowledge and belief,is true,correct,and complete
99563
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