Homestead_Warlick 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
Channon Robb n/k/a Channon Wright Jason B.Wright
Address(number and street) 2_ p S S r- a�e Address(number and street) •
6340 W Stalheim Avel 6340 W Stalheim Ave
City,State,and ZIP Code rj-',I1 A11ac.-t .IN City,State,and ZIP Code
Owensville, IN 47665 ={-ir 4. 121 Owensville, IN 47665
Country Country
•
US US
Email Address
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete as
rewired 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
r al pr{operty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
S)gnalu4 of Seller. Si ure f Seller
.'` .1 \ ,
Printed Name of Seller' '...`j " Date Slgned(mm/dd/yyyy) Prin Name of Selle Date Si d(m dd/yyyy)
Channon Robb n/k/a Channon Wright 0L;1 2.,‘'! ! 7()/ (4 J on B.Wright V'll /� 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 veyance document
Jonathan Warlick '
Address(number and street) Address(number and street) l
4 !
408 Reis Ave.
City,
,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47711 M4,k „ '4:ej
Country Country
US G/ u4
Email Address
for certain deductions.!den those that apply:
YES NO CONDITION YES NO CONDITION /TOR C/1.Will this property be the buyer's primary ( O 3. Homestead \ \'
® O residence?
0 ® 4.Solar Energy Heating or Cooling System
\ 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
O ) for this residence? tf 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 •
GI •
H-tt -3) -z'-�' - oou 7 Sg -021 •
Under penalties of perjury,I hereby certify that 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