Homestead_Walker (22) H. PREPARER
Preparer of the Sales Disclosure Form Title
Courtney Pruett Title Clerk
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Kevin S. Beaman Lisa L. Beaman l Addres n er an tr t) g5j ass(n mb an street6 tp���y,• t 2
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•
City, te,and ZIP de C. , te,and ZI C e
-171 —7-7 rnorog
Country tom{V A Countryu 5
Email Address
requl ;!,y law,an is prep, accordance with IC 6-1.1-5.6.A persofi who kno Ingly and anti n y falsifies the value of transferred
real p ••• rty,or o Its or filial any Information required to be provided,eomrrrifa a Level 6 elon
Si. ,of Seller / Signature of Seller,'
,S 1'ir ' �-- ;
-rinted Name of Sellj� Date mm/d Signed
g ( d/yyyy) tint IGaNfe of Seller Date Signed(mm/ddlyyyy)
Kevin S. Beaman Q-)(>-7 ti Lisa L. Beaman U;,/Co VI
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 conveya cument
Jason Christopher Walker Angela Nicole Walker
Address(number and street) Address(number and street)
105 S Jefferson St
...,..6
City,State,and ZIP Code City,State,and ZIP
Princeton, IN 47670 6
Country Country 0ILT
Email Address /es0`j' C �Qsy
for certain deductions.Identify afl1r J e that apply:
YES NO CONDITION YES NO CONDITION ITO"3¢/
0 1.Will this property be the buyer's primary 0 3.Homestead 9 (\
r idence? 0 Q 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 CO 5.Wind Power Device
0
for this residence?If yes, provide address: 0 ( 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 2 .12_, 13.3 ^q 0' _O O 1 . s...2.1
2 _0 28
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete