Homestead_Parsons 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
I. SELLERS)/GRANTOR(S)
I
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Brooklyn Rae Dudley
Address(number and street) Address(number and street) •
•
206 W. Delaware Street '7 j;S eGLc4. 3i •
City,State,and ZIP Code IJ r i Os'yiet 6 S-6i City,State, and ZIP Code i
Princeton, IN 47670
Country Country
US
Email Address
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 i
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signatu je of Seller„,..---Th Signature of Seller
rested Name of Seller ' Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mrniddlyyyy)
Brooklyn Rae Dudley _' fi"- L I
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AI N T APPLY
Buyer 1 -Name as it appears on conveyance dgcument Buyer 2-Name as it appears on convey nce c nt
e5 D uL�1f OekLi tkesc)S
,,,,, ,,<, .._.
Address(number and street) Address(number and street)206 W.Delaware Street '7 q-,j
City,State,and ZIP Code City,State,and ZIP Co* ,s
Princeton, IN 47670 `r0,)� < ;'
Country Country 0'p n
U S G/1'
Email Address
)
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
® O 1.Will this property be the buyer's primary ® O 3. Homestead
residence? O ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated O ( 5.Wind Power Device
O for this residence? If yes, provide address:
0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ( 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 27 6- - 12
- ( _3 Q/, uU 2 /'a� O 22
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete