Homestead_Austin H_PREPARER 1
Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310, Evansville, IN 47708
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Clinton M.Will
Address(number and street) Address(number and street)
915 E.200 N l7 y Cr�t_yy,,/, t'K T
City,State,and ZIP Code t ' f r ,���*+���^" City,State,and ZIP Code 1
Princeton,IN 476705 / �(f/ �- �'
��%p 1 F'. V /
Country Country Fc B
US C 08
Email Address
best of my knowledge- d_._.Ie ,correct,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and inten f $ es the val /6f*ransferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. "C )
Signatu Iler Signature of Seller
l J
Friin ed Name 'Iler Date Sig d(tmrn/dd/yyyy) Printed Name of Seller Date Signed(rnm/ddfyyyy)
Clinton M.Will 7111 )-'
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
Michael R.Austin
Address(number and street) Address(number and street)
915 E.200 N
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country Country
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
(21.Will this property be the buyer's primary ( 0 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
ti7 2. Does the buyer have a homestead to be vacated O ( 5.Wind Power Device
for this residence? If yes, provide address: D ® 6. Hydroelectric Power Device
Address(number and street) p ( 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County / -(()1- - Lo-
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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