Homestead_Benson H. PREPARER_._..____T.._,__�..... ___.--- ------ 1
Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
r 25 NW Riverside Drive,Suite 310,Evansville,IN 47708
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as It appears on conveyance document Seller 2—Name as appears on c veyance document
Steven Staley
Address(number and street) ' I r Address(number and street) 14_trl13231 E.200 S �; i i / L I ,K City,State,and Z[P Code City,State,and ZIP CodeF
Oakland City, IN 47660 FB r
Country Country ` J ?O?4 \ �(((=
US J
Email Address
of my knowledge and belief,isAirJ -.• • t,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fal. --3; e value of transferred
real property,or omits or falsifiessany information required to be provided,commits a Level 5 felony.
e.r2> _) �_��'7
Signa Il / Signature of Seller
Printed Name of Seller / Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Steven Staley 01/31/2024 01/31/2024
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
Steven Benson Keylee Benson
Address(number and street) Address(number and street)
13231 E.200 S 13231 E.200 S
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660 Oakland City,IN 47660
Country Country
US US
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 ® 0 3. Homestead
® O residence? 0 ® 4. Solar Energy Heating or Cooling System
El2. Does the buyer have a homestead to be vacated O Gil 5.Wind Power Device
O for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street},,-� 1- - ,i e O ® 7.Geothermal Energy Heating or Cooling Device
City State,and�ZIP Code \ 1 , • l >^ countyq ( (L _ l+Q O - Q 5--et _uU
t L-ii 1 U { b
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete
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