Homestead_Stroud 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. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Billie Mae Sharp
Address(number and street) • 1 Address(number and street)
• v
City,State,and ZIP Code City, State,and ZIP Code
Owensville, IN 47665 A'
Country Country '4
US Li
Email Address Email Address Telephone Number
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge a 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 into Isifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. &�
Sig tyre of Seller //' Signature of Seller 0,4
Printed Name of Seller 11/ Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mrn/dd/yyyy)
Billie Mae Sharp Ci' " (j 3 - /
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
Rebecca Stroud
Address(number and street) Address(number and street)
201 E Montgomery St
City,State,and ZIP Code City,State,and ZIP Code
Owensville, IN 47665
Country Country
US
Email Address
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? 0 (X 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated O al 5.Wind Power Device
for this residence? tf yes, provide address: O ® 6. Hydroelectric Power Device
Address(number and street) 0 ( 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County )140/ ^ 17_12-,2-C,Z_ 00 u
• p y