Homestead_Gallego 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
SELLER(S)/GRANTOR(S)
-FAL
Seller 1 -Name as It appears on conveyance document Seller 2-Name as appears on con ument
Billie Golden Melinda Preusz
Address(number and street) Address(number and 14.6 0 1 2024
303 N.Fourth Ave. 303 N. Fourth Ave.
City,State,and ZIP Code City,State,anr& yD code
Princeton,IN 47670 Princeton, IN 7
Country Country GIBSON COuivv,.r ‘40-4414.)
y AUDITopi
, US US
Email Address
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 any information required to be provided,commits a Level 5 felony.
Si na e of S II Signatu of (_Seller
I—
Printed Name of Seller DateS3gned(mm/ddlyyyy) Printed Name of Seller Date Signed(rnm/iiryy)
Billie Golden "7 - 0(1 Melinda Preusz C7-o)--
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
Ana Lisa Gallego Juliebert G.Salinas
Address(number and street) Address(number and street)
68 W 800 S,Apartment 8308 68 W 800 S,Apartment 8308
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648 Fort Branch, IN 47648
Country Country
US US
Email Address
)
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to 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 M 0 3. Homestead
MI 0 residence? 0M 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device
0 for this residence? If yes, provide address: 0 M 6. Hydroelectric Power Device
Address(number and street) 0 (i) 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County (2.-C- -101 — 0 0 z ) _
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
r4Z- 1