Homestead_Boehme IH. PREPARER +
Preparer of the Safes Disclosure Form Title
. Natalie Foley _ _ Settlement Anent __
Company ---1
Address(number and street,city, state, country,and ZIP Code)
25 NW Riverside Drive, Suite 310,Evansville,IN 47708
( I. SELLERS)/GRANTOR(S) - -
Seiler 1 -Name as it appears on conveyance document Seller 2-Name as appears on cony- ance document
Barry R.Brooking
Address(number and street) TM Address(number and street)
City,State,and ZIP Code City,State,and ZIP Code
Country Country
us �O�y
1 Email Address
to the best of my knowledge and belief,is i'C ,_ ect,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falerffl pralue transferred
real property,or omits or falsifies an on required to be provided,commits a Level 5 felony. R
Si Signature of Seller
i
' Printed N of Seder Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed( )
Barry R.Brooking - I 07/12/2024 07/12/2024
J. BUYER(S)IGRANTEE(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
AMatthew Boehme Timara Boehme
ddress(number and street) Address(number and street)
914 Polk Drive 914 Polk Drive
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660 Oakland City,IN 47660
Country . Country
1US US
Email Address
YES NO CONDITION r YES NO CONDITION
N
1.Will this property be the buyer's primary ail 0 3.Homestead
t- residence? 0 ® 4.Solar Energy Heating or Cooling System
B 0 O 2. Does the buyer have a homestead to be ed 0 ® 5.Wind Power Device
o y� for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
-.7- Addre er ands reef)
!!7] nyril S lre oaf_ ie_, 7.Geothermal Energy Heating or Cooling Device
qC ,State,and ZIP Code Co
i Pt Inte-- C2r\ 4 ry LI 76 70 � c 1 ZG Y IL) —1 g - O o0 . g2� --'UU—
;
.-tinder penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete
lr-' 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
c-N; transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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