Homestead_Schwindel H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance ,.. .4ejt
Michael C. Dewig •�'Q
Address(number and street) Address(number et) /t
7150 Arden Court /.6
City,State,and ZIP Code City,State,and ZIP Co k 4`y
Evansville, IN 47712 cOGQ,�,/
Country Country - Y l
C.-
USA '9G
rp
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.
*Signature of Se r Signature of Seller
/41:'."r 4 cc .7
Printed Name of Seller 0 0 Date Signed(mm/ddiyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Michael C.Dewig 3/12/2024 3/12/2024
USA
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
❑ 1.Will this property be the buyer's primary 1F: ❑ 3. Homestead
residence? ❑ „j 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ❑ Er 5.Wind Power Device
❑ for this residence?If yes,provide address: ❑ Er 6. Hydroelectric Power Device
Address(number,And street) 0 a 7.Geothermal Energy Heating or Cooling Device
( Ity,State,ZIP code,and County ' 1 ` o WO' / 1Q_`a _-�(') /L 1i I .�� �6
L'01,L,rC LI 1`Q. 3_..ki I-A 1-1 k 1 �!c'�t(�G4-_ b ll _11 C / .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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