Homestead_Damon (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Milton Norman
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
Robert Lee
Address(number and street) Address(number and street)
5805 S. Old State Rd 64
City,State,and ZIP Code City,State,and ZIP Code
Winslow, IN 47598
Country Country
US
Email 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.
S• netU af,�ei rr . 9
7 Signature of Seller
g � j --tsar-
Printed Name of Seller ' Date Sig d( m/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Robert Lee 15
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI AT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on cony n docu t
SarahDamon
Address(number and street) Address(number and street) /C,(``�
-40
226 W.Vine Street
City,State,and ZIP Code City,State,and ZIP C • 42 1—
Oakland City,IN 47660 S
Country Country O�' �
US C))�NTy
Email Address
PR )
0 Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
1 YES NO CONDITION YES NO CONDITION
O
® 1.Will this property be the buyer's primary IX 0 3.Homestead
D residence? 0 ® 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
O CI'
for this residence? If yes,provide address:
�., 0 IX 6. Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
530 N. Madison SE.
00 City,State,and ZIP Code County
ty
Oakland C;ty 1N LI-11o1o0 C;b�r 2t—N -10 -1-000 2-2r4—094- .
S
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