Homestead_Deisher H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris Coon Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(s)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conve d. a
�
Patricia^ Vanoven �I
di i (nu alst .eti a___ Address(number and street) 144/
1i state,anQ 21P CodtN) 01 City,state,and ZI�/�•; �OI�r
1-1'17i1.f�ll Sp r
,C Country �Cp�N /
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 information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
c
Pri Name of Seller Date signed(mm/da/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)-
Patricia Vanoven e1/D-,2D S/
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
Danielle Deisher Ethan Deisher
girgiecgrzikapd ?w.f.) Address(number and street)
Cl IP Co 10 4_it WS'z . City,state, d
yi...Q)
Countrospc Countr
y
YES NO CONDITION _YE NO CONDITION
1.Will this property be the buyers primary O 3.Homestead
X O residence?
0 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 5.Wind Power Device
for this residence?If yes, provide address: 0 6.Hydroelectric Power Device
be stye tg)_ andoo 4 A ?e 0 7.Geothermal Energy Heating or Cooling Device
ity. I a cauntr i L l ,0 Z -t2-01-2.0 I -00 t . - _ 0 28
Under penalties of p ury,I herebyN 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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