HomeMy WebLinkAboutHomestead_White (15) 1 H. PREPARER
Preparer of the Sal s isclloosure Form Q,�/ - Title
/ l t:W/ Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Charles Michael White
Address(number and street) Address(number and street)
109 S East Mill Street
City,State,and ZIP Code City,State,and ZIP Code
Patoka,IN 47666 C._
Country Country
1)(
US DEC 11
2023
the best of my knowledg4 �. � ,s�ie ^,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and in > 44 figs, a of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. 'OR
Signature of Seller Signature of Seller 1
';
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Charles Michael White 12/05/2023 12/05/2023
i
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
Natalie N.White Caleb White
Address(number and street) Address(number and street)
10572 W 450 S 10572 W 450 S
City,State,and ZIP Code City,State,and ZIP Code
Owensville, IN 47665 Owensville,IN 47665
Country Country
US US
YES NO CONDITION E9"`1 NO CONDITION
1.Will this property be the buyer's primary O 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: p ® 6. Hydroelectric Power Device
Address(number nd street) 30 0 ® 7.Geothermal Energy Heating or Cooling Device
oIG( ty,State,and ZIP Codecounty
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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