Homestead_Wesselman (2) H. PREPARER
Preparer of the Sales Disclosure Form The
Milton Norman Settlement Anent
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 Seiler 2—Name as appears on conveyance document
David L.Fithian
Address(number and street) Address(number and street)
1607 W Brimfield
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670
Country Country
US
Email Address
knowledge and belief,Is true,correct,and complete as
required by law,mad is p pared,lh accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or,ciirn44, $ y information required to be provided,commits a Level 5 felony.
"yr of S /
Signature of Seller
, to fifer Da Sig (mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
David L.` �
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY T • •PLY
Buyer 1-Name as it appears on conveyance document Buyer 2—Name as It appears on cpnveya •• ••• • .I t
Noah S.Wesselman 9j d
Address(number and street) Address(number a • .;':_•)
102 Aztec
City,State,and ZIP Code City,State,and ZIP Co
Chandler,IN 47610 C ,1,Q
Country Country US �/r yq
G
Email Address
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDfTION
1.Will this property be the buyer's primary (2 0 3.Homestead
residence? 0 IX 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 (2 5.Wind Power Device
for this residence? if yes,provide address: 0 X 6.Hydroelectric Power Device
Address(number and street) 0 NI 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code Courrly a -1)- I Z-ro L --o W. I `t 2 -0 CEO
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct.and complete