Homestead_Edwards (2) H. PREPARER T
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
I. SELLERS)/GRANTOR(S)
; Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on convey ocu
John W. Riddle
�Address(number and street) Address(number and street) �,�k 1:::)
209 W Locust Street /
City,State,and ZIP Code City,State,and ZIP -"- 20<
Fort Branch, IN 47648 /es0 - y
Country Country �Co
US iy
99 )
1 Under penalties of perjury,I hereby certify 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 transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
isnature of�q er 6 r r Signature of Seller
' W I �, � 0: •- it Al r
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
John W. Riddle 05/06/2024 05/06/2024
i J. BUYERS)/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
Larry Edwards
Address(number and street) Address(number and street)
1239 Lavender Court
City,State,and ZIP Code City,State,and ZIP Code
Evansville, IN 47712
Country Country
US
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 a) O 3. Homestead
• residence? Q ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 N 5.Wind Power Device
for this residence? If 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 `[-I ^ 13_4 o u - 001 - r y I _ o L(
3 -