Homestead_Scott (7) H. PREPARER
Preparer of the Sales Disclosure Form Title
Milton Norman , Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code) LED
Fj.
25 NW Riverside Drive,Suite 310,Evansville, IN 47708I. SELLER S /GRANTORS
Seller 1 -Name as It appears on conveyance document fl)�(Ir 2-Name as appears on conveyance document
Miriah A.Logan _A`TDn 1.8. L•.
Address(number and street) Address(numr"and street
601 S Gibson St. y� 601 S Gibson St. \
/ \
City,State,and ZIP Code G/SSDi ,(§plite 1 ZIP Code q ,
Princeton,
n, IN 47670 t m ) ,
CountryCountry �1JD/rO
US US
Email Address
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.
Si nature of Seller i x Signature of Seller
Printed Name of Seller - rJ Date Signed(mm/dd/yyyy) Printed Namet6lSeller Date Signed(mm/ddlyyyy)
Miriah A.Logan (.Xt2' I i�(� 1r:`fO,79i--J Aaron T.R. Logan if� /._%6,1,-�<�?--1%Jle
. 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
Kara Kay Scott Brendan DeSean Bateman
Address(number and street) Address(number and street)
80 W 800 S,Apartment 5103 80 W 800 S,Apartment 5103
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
US US
Email Address
YES NO CONDITION YES NO CONDITION
® 1.Will this property be the buyer's primary ( 0 3. Homestead
residence? 0 (10 4.Solar Energy Heating or Cooling System
GO for
Does the buyer have a homestead to be vacated 0 ( 5.Wind Power Device
for this residence? If yes, provide address: 0 a 6. Hydroelectric Power Device
Address(number and street) 0 (2 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
— \ Z- 07_Ai os _ vu .6 ) y -tie
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
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