Homestead_Putnam H. PREPARER
Preparer of the Sates Disclosure Form Title
Allyn Tresenriter Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on ccnveya a do�i
David William Rheeling �(
Address(number and street) Address(number and street)
328 Foxford Drive 4/3,
City,slate,and ZIP Code City,state,and ZIP Code.�, Oj '�J
Cary, IL 60013 G 1�
Country Country O
US US 4'
Co,
CC
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is true,co4and 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 6 felony.
•Signature of Seller CD Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
David William Rheeling OS 1.A9(Ao a7
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 II appears on conveyance document
Travis Putnam
Address(number and street) Address(number and street)
1830 Pueblo Pass
-------- ---- -----
City,state,and ZIP Code City,slate,and ZIP Code
Evansville, IN 47715
Country Country
US US
( )
Pursuant to IC 6.1.1-12-44,the Sales Disclosure Form may be used to pply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
esidence? 0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated , 0 O 6.Wind Power Device
for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) II 0 E 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county ��- / _O7_ D
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