Homestead_Woods (14) H. PREPARER
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. SELLERS)/GRANTOR(S)
Seller 1 -Name as It appears on conveyance document Seller 2-Name as appears on conveyance document
Mike Duckworth,Jr. Amanda J. Duckworth
Address(number and street) Address(number and street)
T
815 S.Hall St. '2/3e{ s° I j l i j f e-�,er;,-i/t y'!r 815 S. Hall St.
City,State,and ZIP Code City,State,and ZIP Code
' Princeton, IN 47670 Princeton, IN 47670
Country Country
US US
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 knovfringiy and intentionally falsifies the value of transferred 1
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
gigroturepf Sgl : ` �'` Signature cif 41Ier j r
i \i/ 0 k_r_ \j-,\ i .1_,c)/v „...,,t iji...,_
Printed Name o-getter Date Signed(mm/dd/yyyy) Printed Nam of Seller I ' Date Signed(mm/ddlyyyy)
Mike Duckworth,Jr. 2 2$-2-1 Amanda J. Duckworth \" 2:29 21
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
Brayden D.Woods
Address(number and street) Address(number and street)
225 W.Mulberry St. i-5 ;- °r\,-c 1,'‘ '` \- - -
City,State,and ZIP Code City,State,and ZIP Code �
Princeton,IN 47670 AMR
Country Country '.5.
2024
US
Email Address Email Address G'/ Telephone Number
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Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Id�illjy es
jl� tha,fliy:
YES NO CONDITION YES NO CONDITION ?O/i, (
Gil1.Will this property be the buyer's primary ® 0 3. Homestead . c
`
residence? 0 N 4.Solar Energy Heating or Cooling System
0 ,, 2. Does the buyer have a homestead to be vacated 0 l 5.Wind Power Device
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
I
Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
Page 3 C . .