Homestead_Horne H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy B.Pollard Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Carl Lee Gentry,Jr.
Address(number and street) Address(number and street)'
505 E Oak Street
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648 ~� f
rIN
Country Country Arn ,
US I3
4CF
( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and beipeci0 correct,and complete as
required by law,and is pre red in accordance with IC 6-1.1-5.5.A person who knowingly and intentionannp the value of transferred
real property,or ' s or ifies any information required to be provided,commits a Level 5 felony. Q� / \
Signature of S Signature of Seller �R \ 1
''Printed Na o S Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(m W y )
Carl Lee Gentry,Jr. 05/03/2024 05/03/2024
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
Addison M.Home
Address(number and street) Address(number and street)
3109 Sheridan Drive
City,State,and ZIP Code City,State,and ZIP Code
Evansville, IN 47710
Country Country
US
( )
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 ® 0 3. Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
`
l4 for this residence?If yes,provide address: 0 ® 6. Hydroelectric Power Device
ylvis4um r and street) 0 12 7. Geothermal Energy Heating or Cooling Device
City,Slat/end ZIP Code r\ KU Del I ICJ 41 •
Under penalties of perjury,I hereby certify that this Sales sclosure,to the best of my knowledge and belief,is true,correct,and complete