Homestead_Burpo H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Moers Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on co e ce document
Garrett Metropol
Address(number and street) Address(number and street)
6981 W 450 S 44).1
City,State and ZIP Code City, State and ZIP Cod 4/1/d,0
Owensville, IN 47665 .
Country Country C/s, ��y
nte)
United States of America Oa,
Email Address
Alei�,
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is true,c' ect 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
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Garrett Metropol Oct 2L/ E723
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
Jordan Rurpo Elizabeth Rurpo
Address(number and street) Address(number and street)
8440 Lincoln Ave, Apt. n 8440 Lincoln Ave, Apt . n
City, State and ZIP Code City, State and ZIP Code
,)41)0( Evansville, IN 47715 Evansville, IN 47715
Country Country
UnitedStatesofAmerica United States of America
Email Address
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 residence? 0-/3. Homestead
❑ 4J' 4. Solar Energy Heating or Cooling System
0 f�2. Does the buyer have a homestead to be vacated for ❑ /5. Wind Power Device
this residence? If yes, provide address: ❑ p� Hydroelectric Power Device
Address(number and street) ❑ Q' 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code,and county c2 _'o-?&'- /16Q- co , 8 3, -60)(
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the(best of my knowledge and belief,- f is true,correct aid 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.(Note:Both spouse's
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