Homestead_Devers I H. PREPARER
i Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code) •
25 NW Riverside Drive,Suite 310,Evansville,IN 47708 •
I. SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
April D.Carlisle - Donald J.Carlisle
Address(number and street Address(number and street) •
2z2. .v) z9t32_ -
City,St le,and ZIP Code I� City,State,and ZIP ode
1 `t
Country Country
of my knowledge and belief,is true,correct,and complete as
required by law,end 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.
Sign.lure of II- / / SI.natureofSeller��rvra.Qet �. CstA-�:•:4kc
Printi.Na e of Seller Dategnedd(mm/dd/ ) •ranted Name of Seller Date Signedmm/dd/yyyy)
__
April D.Carlisle 06/1 - 4a Donald J.Carlisle _ r3J la , c).:'
J. BUYERS)/GRANTEE(S) —APPLICATION FORPROPERTY TAX DEDUCTIONS—I II .` ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it ap•:. •n••n yanc ument
ChristopherCovers _
Address(number and street) Address(number and street)
1157 Oak St
City,State,and ZIP Code City,State,and ZIP Code 0 /(�?0�
Vincennes,IN 47591 4
.22
I
Country Country
US G/iSOM 2
Email Address
CONDITION
1.Will this property be the buyer's primary ® 0 3.Homestead
0 O residence?
0 ® 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
0 ® for this residence?If yes,provide address: p ® 6.Hydroelectric Power Device
Address(number and street) 0 (2 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 26_ ) 2 6_ I 0 I _ 6 O 0,8 2_'L_O o6
Under penalties of perjury,I hereby certify that this Sates Disclosure,to the best of my knowledge and belief,is true,correct,and complete 1 '
