Homestead_Goldman H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
_ 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Christopher Adam Falls
Address(number and street) Address (number and street)
1758 S 1150 E
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660 ,
Country Country
United States of America
Email Address
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 any information required to be provided,commits a Level 5 felony.
Sig t e f Seile
ete 4 Signature of Seller
Printed Name of Sell r D e Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Christopher Adam Falls YYYY)
7/12/2024
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDE ill 6.1. THAT APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name a r ap• a on e e document
Torrey Goldman
Address(number and street) Address (number and,trtet),
203 N. Madison St. 9 2024
City, State and ZIP Code City, State a P Code
Oakland City, IN 47660 G/B Sty � . � )
Country Country �CaUNTYAUDI4
United States of America ,
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence? RI D 3. Homestead
D RI 4. Solar Energy Heating or Cooling System
0 0 2. Does the buyer have a homestea to be vacated RI 5. Wind Power Device
this residence? If yes, provide ad ess:
0 6. Hydroelectric Power Device
Address (number and street) e 0 p 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code Count
r l_ \3-\ - L u\ L- o� 0 . i ate-001
Under penalties of perjury,I hereb rtify 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
transferred real property, or omits or falsifies any information required to be provided,commits a Level 5 felony. (Note:Both spouse's