Homestead_Barnes H. PREPARER
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. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on convey?,iice,document
Tiffany Bolden
Address(number and street) Address(number and street) 1 '
203 N. Madison St.
City,State,and ZIP Code City,State,and ZIP Code ./(j(
Oakland City,IN 47660 /
Country Country S 104
US Q/eS \� /
Email Address
my knowledge and belief,is true(144pnd complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies t{'vatue of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature oLSeller Signature of Seller
:PfintedTlame of Se r Da Si ned(mm/ d/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Tiffany Bolden ,
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
Thomas Bames
Address(number and street) Address(number and street)
203 N.Madison St.
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660
Country 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 ® O 3. Homestead
residence? p ® 4. Solar Energy Heating or Cooling System
Does the buyer have a homestead to be vacated 0 al 5.Wind Power Device
0 for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 (. 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct,and complete