Homestead_Davids H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger 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 document
Teresa M. Hedge
Address(numb�aad�treet� ) ��� Address(number and street)
11 4Ald P14
City,state,and ZIP de City,state,and ZIP Code /7 ji
O 010 co._ - 1 s SFr
Country Country L. i 4t
US us G 4 ���3
my knowledge and belief,is true,c and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifie t 'le of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
_Agnat a of Seller . Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller p to signed(mm d�
Teresa M. Hedge 12/12/2023 uCC 15
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI ALL THAT APP142
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on ce document
Nicole Elizabeth Davids Casey Alexander Tieken oNCOVQ.L� v
Address(number and street) Address(number and street) N�,
101 S Dexter Ave. 101 S Dexter Ave. tiki/rofi
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47714 Evansville, IN 47714
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:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O O 3. Homestead
O O residence? 0 O 4. Solar Energy Heating or Cooling System
V2. 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
Address(number and street) , 4 v 0 O 7. Geothermal Energy Heating or Cooling Device
10 De -c �
City,state^ZIP code,and ill T JV `
4911 / n 62 J - 'O- 5 a
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