Homestead_Shigley H. PREPARER y -
Preparer of the Sales Disclosure Form Title
Leah Brown Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 .
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Tyler R.Almon Hayti L.(Bittner)Almon uC T 0 8 2ft24
Address(number and street) Address(number and street) el
U
1732 E Warrenton Road 1732E Warrenton Road Cyi ,
City,State,and ZIP Code City,State,and ZIP Code /
Haubstadt,IN 47639 Haubstadt,IN 47639 GIBSO C
Country Country AUDIT n
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
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
i
X.7.- &a"-'''m"--- (1\0- i' S. 6 ,C1VW.Sn.
Printed Name of Seller Date Signed(mm/ddlyyyy) Printed-Name of Seller Date Signed(mm/dd/yyyy)
Tyler R.Almon 10/01/2024 Hayli L.(Bittner)Almon 10/01/2024
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS--IDENTIFY ALL THAT APPLY I
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Jared Shigley ,r,>.,
Address(number and street) Address(number and street) te .r
City State,and ZIP Code City,State,and ZIP Code ',..Z.../ ''J/ `" i,,l7
Country Country
US
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
El O 1.Will this property be the buyer's primary 0 O 3. Homestead
residence? 0 0 4.Solar Energy Heating or Cooling System
` 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 ® 6.Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 2:1 ...
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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