Homestead_Bennett H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street, city,state, country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conve nce c ent
Steve Fithian
-1)(number andstreet)dress(number and stye t Address t )
ty,State and ZIP,Code y, , City,State,and ZIP Code 2 20
24
Country Country G/eS
USA CN CON CZ \
1141R
Under penalties of perjury,I hereby certify 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 transferred
real property,or omits or falsifies�n information required to be provided,commits a Level 5 felony.
)481g a of Seller Signature of Seller
P ed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Steve Fithian July 16, 2024 July 16, 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
Jonathan Bennett
Address(number and street) Address(number and street)
8283 Indiana 64
City,State,and ZIP Code City,State,and ZIP Code
Francisco, IN 47649
Country Country
USA
to apply or certain deductions.Identify all of those that apply:
YES NO CONDITION E NO CONDITION
❑
1.Will this property be the buyer's primary ❑ 3. Homestead❑ residence?
0 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ ❑X 5.Wind Power Device
❑ for this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device
Address(number and street) ❑ ❑X 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 'i[ I ' _21 - I ,O O-O O 0. 331 -(yo u
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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