Homestead_Wiessner 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. SELLER(S)/GRANTOR(S)
Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on conveyance document
Paige L.Carlson Wyatt D.Lyke
Address(number and street) Address(number and street)
317 N.Main St. 317 N.Main St.
City,State,and ZIP Code City,State,and ZIP Code
Haubstadt,IN 47639 Haubstadt,IN 47639
Country Country
US US
Email Address
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.
Signature of Selle 't i'� (A �� Sign of S r'`�
, Z7-----
Printed Name of Seller Date Signed(mm/dd/yyyy) ri d Name of Seller Date Signed(mm/dd )
Paige L.Carlson ..•'$\3-;71(/ yatt D.Lyke g• . , <
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-I NTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appe nin nce document
Mandl Wiessner (/
Address(number and street) Address(number and street) -461) -..)
317 N.Main St.
City,State,and ZIP Code City,State,and ZIP Code 40
Haubstadt,IN 47639 u 2024
Country Country
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1+4 1.Will this property be the buyer's primary (I 0 3. Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
072.Does the buyer have a homestead to be vacated 0 OD 5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) 0 &_119 _® 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County 3) -3 0 l -0 O10 .2st 3_ 0 09 ,
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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