Homestead_Bunch 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 j
I. SELLER(S)/GRANTOR(S) '
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on con an o b nt
Chasity Bates `
Address(number and street) / 1 1, Address(number and streel* i i
9403 E.550 S iJf �� �,jJ(,G 71,i.� {c'� /[-(;f 6 �?
City,State,and ZIP Code _ J fir_r City,State,an�i'1�1 e
Oakland City,IN 47660 L•Va r)5!,/, ( .T, 7-/,b (....)\
O�
Country C Country Ovti
US Tl Q�O - ,
•
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. i
Signature of Sell /t Signature of Seller
i7 4
Printed Nathe of Seller , Date Si ned(mm/dd/yyyy) Printed Name of Seller Date Signed(mrn/dd/yyyy)
. Chasity Bates = y.-,1
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
Josh Bunch Jessica Bunch
Address(number and street) Address(number and street)
9429J=.550-S-- `1 /1 ( 5 1.: 6 6 `-_) 9499 E.550 S
City,State,and ZIP Code City,State,and ZIP Code
Oakland City,IN 47660 Oakland City, IN 47660
Country Country
US US I
Email Address
YES NO CONDITION YES NO CONDITION
® 1.Will this property be the buyer's primary ® 0 3. Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
-1 2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
0 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 ^e_C _ Q_ _ 000 ,323 _G o
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