Homestead_Weissmann H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715 FILED
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Romaricosofronio Caalem Elena Caalem MAY 14 2024
Address(number and street) Address(number and street)
525 E State Street,APT. 2A 525 E State Street,APT. 2A
City,State,and ZIP Code City,State,and ZIP Code y,
Princeton, IN 47670 Princeton, IN 47670 %/Ccc4u4 a. cd4imd)
Country Country GIBSON COUNTY AUulTOFt
USA USA
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 prope ,or 'its or falsifies any information required to be provided,commits a Level 5 felony.
Signature f Seiler 4-----„, 'gnaiute of Seller
Pnnted lie of Selma_.; Date Signed(mm/dd'yyy Printdd Name of Seller Date Signed(mm/dd/yyyy)
Romaricoso nio Caalem May 8, 2024 Elena Caalem May 8, 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
Elizabeth Weissmann Bond Weissmann
Address(number and street) Address(number and street)
200 South Main Street 200 South Main Street
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
( Country Country
USA USA
O YES NO CONDITION YES NO CONDITION
g El
1.Will this property be the buyer's primary 0 ❑ 3.Homestead
Xresidence? ❑ ❑X 4.Solar Energy Heating or Cooling System
t
2. Does the buyer have a homestead to be vacated ❑ ID 5.Wind Power Device
fl p ❑ for this residence? If yes,provide address: ❑ ❑X 6.Hydroelectric Power Device
1 Address(number and sir t - ❑ ❑X 7.Geothermal Energy Heating or Cooling Device
City,pate,ZIP code, n�C��tY —QO0. l- �� � � C �V�1 g " 1 ��Q .� I
Under penalties of perjury,I hereby certify that this ales 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
I transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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