Homestead_Hawkins H. PREPARER
Preparer of the Sales Disclosure Form Title
Shannon Valiant Escrow Officer
Company
Address(number and street,city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
James J. Homan FILED
Address(number and street) Address(number and street)
6831 W Whispering Creek Dr.
City, State and ZIP Code City, State and ZIP Code MAY 2 8 2"24
Owensville, IN 47665
I,
Country Country
United States of America '�, / ,,/, .d
Email Address Email Address GIBSON Ci.:UN- Jmber
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 prop rty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sigatur:'of Seller Signature of Seller
iL.
Printer^-m'•f Selle Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy)
James J. Ho -• yyyy)
5/21/2024
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
Douglas A. Hawkins Brenda J. Hawkins
Address(number and street) Address(number and street)
2413 White Ridge lane 21-4r 3 WNcTE, 124 O( LLN
City, State and ZIP Code City, State and ZIP Code
Washington, IN 47501 , IN VI r)S t i fl- , \4 Li-1501
Country Country
United States of America United States of America /,? og7' Q 747
Email Address
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
El 0 1. Will this property be the buyer's primary residence? ❑ 0 3. Homestead ,
❑ 2 4. Solar Energy Heating or Coo *to,,•• e •0 0 2. Does the buyer have a homestead to be vacated for 0 p 5. Wind Power Device " �r
this residence? If yes, provide address: ❑ 2 6. Hydroelectric Power Device
Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
'2413 White Ridge lane City, State, County
Washington,
IN 47501
ZIP Code DAVIESS 2c -\ l 0(^`OIL - 1301, . J 1 02 I
W IN
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