Homestead_Heseman (2) IH. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly E Norton Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh,IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Finas K.Heseman Pamela Heseman
Address(number and street) Address(number and street)
7408 Oak Hill Rd. 7408 Oak Hill Rd.
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47725 Evansville,IN 47725
Country Country
US US
Email Address
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 Sellerr Si
gnature of Sel r
i � " r r ' CL/4"/(44,4A-
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Finas K.Heseman 02/23/2024 Pamela Heseman 02/23/2024
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 co docu
William C.Heseman
Address(number and street) Address(number and street) F`a es
8213 S. 1050 W. 29
City,State,and ZIP Code City,State,and ZIP Cod 4/24
Owensville,IN 47665 GIBS
Country Country °iy
°O�Q y
US
( "' )
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:
YES NO CONDITION YES NO CONDITION
MI1.Will this property be the buyer's primary (i 0 3.Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
O �' 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
J� for this residence? If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) Q ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
- 2121 * 0 - 0 r-. Zos= 02A