Homestead_Hurt 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
Robert G. Golden Linda L. Golden
Address(number and street) Address(number and street)
SNC101(JUIN OGli:C 15111 ' D\Es145/[k RCA LOH Shack.) k_oint Ocas IST11 1-tuiest--A ad Lof-I4
Cty,state,and ZIP Code City,state,and ZIP Code
2kLeM‘M aVe ir C L, n'l kt)o c tea v wca-l-e r rt_ wie 0
,
Country Country
US US
_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
re. property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
ig :. reel Selerg Signat e of Sell
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Printed Name of Seller Date signed(mm/ddlyyyy) ' te' am of Seller - late signed(mm/dd/yyyy)
Robert G. Golden 08/29/2024 Linda L. Golden 08/29/2024
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
Nancy Jean Hurt
Address(number and street) Address(number and street)
5945 E 390 N pi3
City,state,and ZIP Code City,state,and ZIP Code - kb
Francisco, IN 47649
Country Country Sep
US US
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cu2,4
for certain deductions.Identify all of thoseqtra1044:.
YES NO CONDITION YES NO CONDITION
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I.Will this property be the buyer's primary E 0 3. Homestead
CI 0 residence? 0 0 4.Solar Energy Heating or Cooling System
,IX 2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
0 for this residence? If yes,provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
/City,state,ZIP c de,and county
2.6 —61---/S"--24 3-0D0,ipro4-eo 7