Homestead_VanBibber 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
Juan Moran Dora A. Nunez Moya
A 0 ,06numbEan1 )street) 5f Address umber and street) 5t
City,state„ nd IP ode City,state,and P Code
y rialtvav y 7�H2 06u 9 �411 �/)l02
Country Country
US US
E-mail.address
Under penalties of perjury,I hereby certify 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 transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of S:.,/ Signature of S r •
Prin 1 'Name of Seller Date signed(mm/dd/yyyy) ame Seller Date signed(mm/dd/yyyy)
Juan Moran 02/09/2024 Dora A. Nunez Moya 02/09/2024
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDEN HA PLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on con e — nt
Devlin VanBibber Courtney Wilson
Address(number and street) Address(number and street) FEB j
12818 Cold Water Dr 12818 Cold Water Drrf 3 2424
City,state,and ZIP Code City,state,and ZIP Cod f
Evansville, IN 47725 Evansville, IN 47729I8SONcZd
Country Countrycowl_YA tic, �US US o �
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary gr 0 3. Homestead
O O residence? 0 p 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence? If yes, provide address: O f 6. Hydroelectric Power Device
Address number and street) 0 Q 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
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
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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