Homestead_Englert H. PREPARER
Preparer of the Sales Disclosure Form Title
Allyn Tresenriter Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715 '
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Charles R. LaMar Kathleen Ann McGillem
Address(number and street) Address(number and street)
1115-1 W ?°O S ' (.003 s. IQG1C-e St. _
y,state,and ZIP Code te City,state,and ZIP Code
uo 2+1Svi�1� 11n 1 Ph r,c-e i t,N, I N -I D D
Country Country
US US
E-m it 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.natur f Seller Si ature of Seller
r.ir �- -u-i- 'l;c )LL -QC— 21a6.1),..
ri ed ame of Seller Date signed(mm/dd/yyyy) led Name of Seller Date signed(mm/dd/yyyy)
Charles R. LaMar 08/27/2024 athleen Ann McGillem 08/27/2024
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
Jaden M. Englert
Address(number and street) Address(number and street)
6921 Highway 165 FILE City,state,and ZIP Code City,state,and ZIP Code <.
Owensville, IN 47665
i`
us us
USuntry AUG 3 0 2024 ! i
k
for certain deductions.Identify�Ilof CeQthiitlIt3'plirUDITOR
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O O 3. Homestead
esidence? O 0 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence?If yes, provide address: O O 6. Hydroelectric Power Device
Address(number and street) O 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
Z-1 f1-/,2.-!D A-44 0, l 3 .--O a g2—
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