Homestead_Clements , H. PREPARER r
Preparer of the Sales Disclosure Form Title
Ross Martin SettlementAQent I
Company
Address(number and street,city,state.country,and ZIP Code)
25 NW Riverside Drive,Suite 310.Evansville,IN 47708
I. SELLER(S)/GRANTOR(S) n
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears eyance document
Enc T.Young
Address (number and street) Address(number and street)
1303 -1 i)e1 S-ir LEI)
City. State,and ZIP Code City,State.and ZIP Code
e n4I�'Ct)G I L 6Z'c d \ JU`
L' 05 -----.
Country Country 7
US
Email Address
my knowledge and belief,is tr , 6mct,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 property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sg ture of Seller
Signature of Seller
it , ,1 J"->! -
Printed Narr> t Sel r - Date Signed(mrn/dd/yyyy) !-P.rimed Name of Seger Date Signed(mm/dd/yyyy)
Eric T.Young 07/03/2024 V 07/03/2024
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
Zach Clements
Address(number and street) Address(number and street)
)10 !\j Pl;enStin, Ali __
City,Stale,and ZIP Code City,State,and ZIP Code
Couhtry Country
US _
Email Address
apply for certain deductions.Identify all of those that apply:
----
YES NO CONDITION YES NO CONDITION
® 1.Will this property be the buyer's primary 0 0 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System
0 SYI 2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence's If yes, provide address: 0 IX 6. Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
an,City,Stated ZIP Code County
2�—12-18 -[ 0s-U0 o . .t8 z-0 2-6'
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
3