Homestead_Pryor H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street, city,state, country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears o c nce document
HARTLEY VERNELL CRAIG
Address (number and street) Address(number and street)
9626 W Winyard Place
City,State,and ZIP Code City,State,and ZIP Code F
ER
Owensville, IN 47665-8982 '2 4 202'
Country Country 1 4
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 transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. —
Signature
/offSSel r r Signature of Seller
Xrinof er Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
HARTLEY VERNELL CRAIG February 2, 2024 February 2, 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
ALLEN PRYOR
Address(number and street) Address(number and street)
9626 W Winyard Place
City,State,and ZIP Code City,State,and ZIP Code
Owensville, IN 47665-8982
Country Country
E-mail Address
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Eiz1.Will this property be the buyer's primary [11 ❑ 3. Homestead
residence? ❑ 4. Solar Energy Heating or Cooling System
D ❑ [}
iig/Does the buyer have a homestead to be vacated V5.Wind Power Device
for this residence? If yes, provide address: ❑ [L '6. Hydroelectric Power Device
Address(number and street) ❑ D--77. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
-I7-(i - -zoo -o o S- . 10- --a 21
A